MEDICARE: HELPING ANGELS HOME CARE, 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	S354335-4	VA

General Provider Information

NPI Number	:	1811286503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING ANGELS HOME CARE, LLC

Provider Business Mailing Address
First Line	:	2505 WINSTON TRACE CIR
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-4446
Country	:	US
Telephone Number	:	804-339-5761
Fax Number	:	804-627-0268

Provider Business Practice Location Address
First Line	:	2505 WINSTON TRACE CIR
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-4446
Country	:	US
Telephone Number	:	804-339-5761
Fax Number	:	804-627-0268

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LAKESHIA POPE
Credential	:
Telephone Number	:	804-339-5761

Provider Enumeration Date	:	04/03/2011
Last Update Date	:	04/03/2011

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