Healthcare Provider Details

I. General information

NPI: 1124640685
Provider Name (Legal Business Name): ANGELA K HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2020
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 N KENHORST BLVD
READING PA
19607-1533
US

IV. Provider business mailing address

117 N KENHORST BLVD
READING PA
19607-1533
US

V. Phone/Fax

Practice location:
  • Phone: 610-478-5415
  • Fax:
Mailing address:
  • Phone: 610-478-5415
  • Fax: 484-541-5504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MAGDALENA TEJADA
Title or Position: DIRECTOR OF OPERATIONS
Credential: CNA
Phone: 610-478-5415