Healthcare Provider Details

I. General information

NPI: 1538738174
Provider Name (Legal Business Name): ANGELS ON HAND, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2021
Last Update Date: 06/18/2021
Certification Date: 06/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 WILLOW ST
POCOMOKE CITY MD
21851-1036
US

IV. Provider business mailing address

4401 GREENDELL RD
CHESAPEAKE VA
23321-5213
US

V. Phone/Fax

Practice location:
  • Phone: 757-292-6773
  • Fax: 757-673-3163
Mailing address:
  • Phone: 757-292-6773
  • Fax: 757-673-3163

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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE TINNER
Title or Position: OWNER/ADMINISTRATOR
Credential: REGISTERED NURSE
Phone: 757-292-6773