Healthcare Provider Details

I. General information

NPI: 1003818220
Provider Name (Legal Business Name): ANGELA HOSPICE HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14100 NEWBURGH RD
LIVONIA MI
48154-5010
US

IV. Provider business mailing address

14100 NEWBURGH RD
LIVONIA MI
48154-5010
US

V. Phone/Fax

Practice location:
  • Phone: 734-464-7810
  • Fax: 734-779-4601
Mailing address:
  • Phone: 734-464-7810
  • Fax: 734-779-4601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number823514
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number824025
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JAMIE LEE LALONDE
Title or Position: PRESIDENT & CEO
Credential:
Phone: 734-896-1370