MEDICARE: HOME HEALTH CARE ANGELS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1003698606
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH CARE ANGELS LLC

Provider Business Mailing Address
First Line	:	2823 ERMINE WAY
Second Line	:
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75234-4930
Country	:	US
Telephone Number	:	863-271-7776
Fax Number	:

Provider Business Practice Location Address
First Line	:	2823 ERMINE WAY
Second Line	:
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75234-4930
Country	:	US
Telephone Number	:	863-271-7776
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	KENNETH ONUOHA
Credential	:
Telephone Number	:	863-271-7776

Provider Enumeration Date	:	10/18/2023
Last Update Date	:	10/18/2023

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