MEDICARE: ANGELS 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
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1639703739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELS LLC

Provider Business Mailing Address
First Line	:	1320 SW TOPEKA BLVD
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66612-1817
Country	:	US
Telephone Number	:	785-271-4376
Fax Number	:	785-783-8575

Provider Business Practice Location Address
First Line	:	1320 SW TOPEKA BLVD
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66612-1817
Country	:	US
Telephone Number	:	785-271-4376
Fax Number	:	785-783-8575

Authorized Official
Title or Position	:	OWNER
Name	:	JEANIE HUTCHESON
Credential	:
Telephone Number	:	785-271-4376

Provider Enumeration Date	:	02/27/2020
Last Update Date	:	02/27/2020

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Directions to “ANGELS LLC ” Practice Location

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