Healthcare Provider Details

I. General information

NPI: 1609704154
Provider Name (Legal Business Name): ANGELHEART, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 JOE DIMAGGIO BLVD STE 1100
ROUND ROCK TX
78665-3976
US

IV. Provider business mailing address

3001 JOE DIMAGGIO BLVD STE 1100
ROUND ROCK TX
78665-3976
US

V. Phone/Fax

Practice location:
  • Phone: 512-310-9857
  • Fax:
Mailing address:
  • Phone: 512-310-9857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MEGHANN OLDIS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 512-310-9857