Healthcare Provider Details

I. General information

NPI: 1700369329
Provider Name (Legal Business Name): AN ANGELS TOUCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2018
Last Update Date: 09/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4673 LIBERTY ROAD
SOUTH EUCLID OH
44121
US

IV. Provider business mailing address

4673 LIBERTY ROAD
SOUTH EUCLID OH
44121
US

V. Phone/Fax

Practice location:
  • Phone: 440-494-1245
  • Fax: 216-912-8513
Mailing address:
  • Phone: 440-494-1245
  • Fax: 216-912-8513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. DENISE WILLIAMS
Title or Position: DIRECTING MANAGER
Credential:
Phone: 440-494-1245