Healthcare Provider Details

I. General information

NPI: 1427974997
Provider Name (Legal Business Name): ANGELS ON EARTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3489 N 76TH ST STE 111
MILWAUKEE WI
53222-3968
US

IV. Provider business mailing address

8124 W FOREST GARDEN CT APT 12
GREENFIELD WI
53220-3726
US

V. Phone/Fax

Practice location:
  • Phone: 414-451-6296
  • Fax:
Mailing address:
  • Phone: 414-451-6296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. GLORIA BAXTER
Title or Position: PROGRAM ADMINISTRATOR
Credential:
Phone: 414-451-6296