MEDICARE: ANGEL CARE HEALTH SERVICES, INC.

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	:	1285771469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL CARE HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	2301 HIGHWAY 1187
Second Line	:	SUITE 203
City	:	MANSFIELD
State	:	TX
Zip	:	76063-6124
Country	:	US
Telephone Number	:	817-469-6739
Fax Number	:	817-801-3486

Provider Business Practice Location Address
First Line	:	1821 N TREKELL RD STE 1
Second Line	:
City	:	CASA GRANDE
State	:	AZ
Zip	:	85122-1705
Country	:	US
Telephone Number	:	520-876-0622
Fax Number	:	520-876-0747

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANGELA W EDDINS
Credential	:
Telephone Number	:	817-469-6739

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	10/16/2024

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