MEDICARE: ANGEL CARE 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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1083589535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL CARE LLC

Provider Business Mailing Address
First Line	:	4404 MARK AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-2843
Country	:	US
Telephone Number	:	702-272-7784
Fax Number	:

Provider Business Practice Location Address
First Line	:	4404 MARK AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-2843
Country	:	US
Telephone Number	:	702-272-7784
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YONAS DEBESAI
Credential	:
Telephone Number	:	702-272-7784

Provider Enumeration Date	:	10/06/2025
Last Update Date	:	10/06/2025

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Directions to “ANGEL CARE LLC ” Practice Location

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