NPI Code Details Logo

NPI 1952825556

NPI 1952825556 : EYES OF ANGELS IN HOME CARE , LLC : KILLEEN, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1952825556
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    EYES OF ANGELS IN HOME CARE , LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/26/2017
-----------------------------------------------------
    Last Update Date     |    12/17/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    315 E AVENUE G STE B 
-----------------------------------------------------
    City                 |    KILLEEN
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76541-6152
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    254-206-3857
-----------------------------------------------------
    Fax                  |    254-239-0136
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    315 E AVENUE G 
-----------------------------------------------------
    City                 |    KILLEEN
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76541-6152
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    254-206-3857
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    ADMINISTRATOR
-----------------------------------------------------
    Name                 |    MRS. RHONDA  HOWARD 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    254-206-3857
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    310400000X
-----------------------------------------------------
    Taxonomy Name        |    Assisted Living Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    385H00000X
-----------------------------------------------------
    Taxonomy Name        |    Respite Care
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    261QR0800X
-----------------------------------------------------
    Taxonomy Name        |    Recovery Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    3747P1801X
-----------------------------------------------------
    Taxonomy Name        |    Personal Care Attendant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.