Healthcare Provider Details

I. General information

NPI: 1841110319
Provider Name (Legal Business Name): ANGEL CARE HOMES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 ALABAMA AVE APT A
SALISBURY MD
21801-5786
US

IV. Provider business mailing address

505 CONCORD BRIDGE PL
NEWARK DE
19702-5217
US

V. Phone/Fax

Practice location:
  • Phone: 302-252-1398
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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 Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. SHANITA REYNOLDS
Title or Position: CFO
Credential: RN
Phone: 845-612-6148