MEDICARE: LITTLE ANGELS HEALTH CARE 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	:	1295094977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE ANGELS HEALTH CARE SERVICES INC

Provider Business Mailing Address
First Line	:	8100 SANDS POINT DR
Second Line	:	APT 2028
City	:	HOUSTON
State	:	TX
Zip	:	77036-2753
Country	:	US
Telephone Number	:	832-620-8635
Fax Number	:

Provider Business Practice Location Address
First Line	:	8100 SANDS POINT DR
Second Line	:	APT 2028
City	:	HOUSTON
State	:	TX
Zip	:	77036-2753
Country	:	US
Telephone Number	:	832-620-8635
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MFON T COLEMAN
Credential	:
Telephone Number	:	832-620-8635

Provider Enumeration Date	:	05/15/2012
Last Update Date	:	05/15/2012

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