Healthcare Provider Details

I. General information

NPI: 1245126531
Provider Name (Legal Business Name): ANGELS HOMECARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2025
Last Update Date: 06/14/2025
Certification Date: 06/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4719 GENERAL MCARTHUR ST
MOSS POINT MS
39563-5259
US

IV. Provider business mailing address

4719 GENERAL MCARTHUR ST
MOSS POINT MS
39563-5259
US

V. Phone/Fax

Practice location:
  • Phone: 228-281-4460
  • Fax:
Mailing address:
  • Phone: 228-281-4460
  • 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 Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: KADEJAH SENCLAIR FINLEY
Title or Position: OWNER
Credential:
Phone: 228-281-4460