Healthcare Provider Details

I. General information

NPI: 1720891716
Provider Name (Legal Business Name): ANGELS HELPING ANGELS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 S CALHOUN ST STE 201
FORT WAYNE IN
46802-2305
US

IV. Provider business mailing address

803 S CALHOUN ST STE 201
FORT WAYNE IN
46802-2305
US

V. Phone/Fax

Practice location:
  • Phone: 260-387-7579
  • Fax: 260-387-7579
Mailing address:
  • Phone: 260-387-7579
  • Fax: 260-387-7579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LATRECE JOHNSON
Title or Position: CEO
Credential:
Phone: 260-387-7579