MEDICARE: ANGEL CARE HOME HEALTH

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	582241	TX

General Provider Information

NPI Number	:	1427002500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL CARE HOME HEALTH

Provider Business Mailing Address
First Line	:	PO BOX 5
Second Line	:
City	:	PATTISON
State	:	TX
Zip	:	77466-0005
Country	:	US
Telephone Number	:	979-826-3221
Fax Number	:	979-826-9391

Provider Business Practice Location Address
First Line	:	13302 FM 359 RD
Second Line	:
City	:	HEMPSTEAD
State	:	TX
Zip	:	77445-3436
Country	:	US
Telephone Number	:	979-826-3221
Fax Number	:	979-826-9391

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. SUSAN ANN EASTER
Credential	:	R.N.
Telephone Number	:	979-826-3221

Provider Enumeration Date	:	05/21/2006
Last Update Date	:	08/22/2020

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Directions to “ANGEL CARE HOME HEALTH ” Practice Location

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