Healthcare Provider Details

I. General information

NPI: 1023973633
Provider Name (Legal Business Name): ANGELIC HOME HEALTHAID INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 NORTH ST STE 110
PITTSFIELD MA
01201-4121
US

IV. Provider business mailing address

900 RIVERDALE ST STE 8743
WEST SPRINGFIELD MA
01089-4900
US

V. Phone/Fax

Practice location:
  • Phone: 857-423-6733
  • Fax:
Mailing address:
  • Phone: 857-423-6733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. JEFFREY PIERRE-LOUIS
Title or Position: CEO
Credential:
Phone: 954-682-2174