Healthcare Provider Details

I. General information

NPI: 1245631050
Provider Name (Legal Business Name): ANGELS AROUND HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2014
Last Update Date: 04/12/2022
Certification Date: 03/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 S LEGENDS CHASE CT
SPRING TX
77386-2033
US

IV. Provider business mailing address

2710 S LEGENDS CHASE CT
SPRING TX
77386-2033
US

V. Phone/Fax

Practice location:
  • Phone: 859-619-2678
  • Fax:
Mailing address:
  • Phone: 859-619-2678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. OBADIAH KIMANI
Title or Position: OWNER
Credential:
Phone: 859-616-2678