Healthcare Provider Details

I. General information

NPI: 1245804780
Provider Name (Legal Business Name): ANGEL AKUNNA HOME CARE & RESPITE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2021
Last Update Date: 03/21/2022
Certification Date: 03/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2316 HIGH COUNTRY WAY
PLANO TX
75025
US

IV. Provider business mailing address

2316 HIGH COUNTRY WAY
PLANO TX
75025
US

V. Phone/Fax

Practice location:
  • Phone: 630-297-1265
  • Fax:
Mailing address:
  • Phone: 630-297-1265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2050X
TaxonomyRespite Care Camp
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. MICHELLE A. ECHEMAH
Title or Position: DIRECTOR-CLINICAL OPERATIONS
Credential:
Phone: 630-297-1265