Healthcare Provider Details

I. General information

NPI: 1558299529
Provider Name (Legal Business Name): THE ANGELS OF HEALING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12520 DEER CREEK DR APT 312
NORTH ROYALTON OH
44133-6718
US

IV. Provider business mailing address

12520 DEER CREEK DR APT 312
NORTH ROYALTON OH
44133-6718
US

V. Phone/Fax

Practice location:
  • Phone: 440-429-4198
  • Fax: 440-429-4198
Mailing address:
  • Phone: 440-429-4198
  • Fax: 440-429-4198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JASON LAMAR HUDSON SR.
Title or Position: DIRECTOR
Credential:
Phone: 440-429-4198