Healthcare Provider Details

I. General information

NPI: 1891615902
Provider Name (Legal Business Name): ASHLEY'S ANGELS ORGANIZATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2026
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18111 GODDARD ST
DETROIT MI
48234-4404
US

IV. Provider business mailing address

18111 GODDARD ST
DETROIT MI
48234-4404
US

V. Phone/Fax

Practice location:
  • Phone: 313-466-1142
  • Fax: 313-466-1142
Mailing address:
  • Phone: 313-466-1142
  • Fax: 313-466-1142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MELODY ANN SORRELL
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 313-466-1142