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NPI Code Detail

MEDICARE: ANGEL CARE HOME HEALTH SERVICES,INC.

MEDICARE: ANGEL CARE HOME 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
1251E00000XHome Health Agency005225TX

General Provider Information

NPI Number : 1811016991
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGEL CARE HOME HEALTH SERVICES,INC.
Provider Business Mailing Address
First Line : 1839 S CARRIER PKWY
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75051-3702
Country : US
Telephone Number : 972-262-6435
Fax Number : 972-237-1495
Provider Business Practice Location Address
First Line : 1839 S CARRIER PKWY
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75051-3702
Country : US
Telephone Number : 972-262-6435
Fax Number : 972-237-1495
Authorized Official
Title or Position : CFO
Name : MR. THOMAS MALIYIL
Credential :
Telephone Number : 972-262-6435
Provider Enumeration Date : 03/28/2007
Last Update Date : 08/22/2020

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Directions to “ANGEL CARE HOME HEALTH SERVICES,INC. ” Practice Location

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