Healthcare Provider Details

I. General information

NPI: 1952929044
Provider Name (Legal Business Name): ANGELS 2 YOU HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2020
Last Update Date: 11/02/2020
Certification Date: 10/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4819 EMPEROR BLVD STE 400
DURHAM NC
27703-5420
US

IV. Provider business mailing address

4819 EMPEROR BLVD STE 400
DURHAM NC
27703-5420
US

V. Phone/Fax

Practice location:
  • Phone: 919-593-1592
  • Fax:
Mailing address:
  • Phone: 919-313-4662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: LATONIYA ELLISON
Title or Position: ADMINISTRATOR
Credential:
Phone: 919-313-4622