MEDICARE: THE ANGELS HOME HEALTH CARE SERVICES 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	1985276	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053616011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ANGELS HOME HEALTH CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	2244 S HAMILTON RD STE 101
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4390
Country	:	US
Telephone Number	:	614-577-1126
Fax Number	:	614-577-1185

Provider Business Practice Location Address
First Line	:	2244 S HAMILTON RD STE 101
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4390
Country	:	US
Telephone Number	:	614-577-1126
Fax Number	:	614-577-1185

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	NGOZI C AKABUAKU
Credential	:
Telephone Number	:	614-577-1126

Provider Enumeration Date	:	01/21/2011
Last Update Date	:	03/23/2011

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