=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790541316
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HELPING ANGELS HOME CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/21/2024
-----------------------------------------------------
Last Update Date | 02/21/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 598 DAYBURG RD
-----------------------------------------------------
City | COLDWATER
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49036-9645
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 517-227-2699
-----------------------------------------------------
Fax | 517-278-9905
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 598 DAYBURG RD
-----------------------------------------------------
City | COLDWATER
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49036-9645
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 517-227-2699
-----------------------------------------------------
Fax | 517-278-9905
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | KATHY LYNN BURKHARDT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 517-227-2699
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------