Healthcare Provider Details

I. General information

NPI: 1750218772
Provider Name (Legal Business Name): ANGEL HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6861 BEAGLE DR
HAMILTON OH
45011-6558
US

IV. Provider business mailing address

6861 BEAGLE DR
HAMILTON OH
45011-6558
US

V. Phone/Fax

Practice location:
  • Phone: 513-693-0449
  • Fax: 513-693-0449
Mailing address:
  • Phone: 513-693-0449
  • Fax: 513-693-0449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: CORINE NICOLE NGALE NGUELIEU
Title or Position: CEO
Credential:
Phone: 513-693-0449