Healthcare Provider Details

I. General information

NPI: 1427527910
Provider Name (Legal Business Name): ANGELS ABOVE HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2018
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 GOLF COURSE RD SE STE 106
RIO RANCHO NM
87124-2575
US

IV. Provider business mailing address

1001 GOLF COURSE RD SE STE 106
RIO RANCHO NM
87124-2575
US

V. Phone/Fax

Practice location:
  • Phone: 505-892-4861
  • Fax: 855-387-0467
Mailing address:
  • Phone: 505-892-4861
  • Fax: 855-387-0467

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DIANE LOUISE VOSS
Title or Position: ADMINISTRATOR
Credential:
Phone: 505-892-4861