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NPI Code Detail

MEDICARE: COMMUNITY ANGELS OF HOPE, LLC

MEDICARE: COMMUNITY ANGELS OF HOPE, 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
13747P1801XPersonal Care Attendant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821141664
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY ANGELS OF HOPE, LLC
Provider Business Mailing Address
First Line : 2750 SHED RD STE D2
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-3386
Country : US
Telephone Number : 318-746-4673
Fax Number : 318-549-9003
Provider Business Practice Location Address
First Line : 2750 SHED RD STE D2
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-3386
Country : US
Telephone Number : 318-746-4673
Fax Number : 318-549-9003
Authorized Official
Title or Position : PRESIDENT
Name : HOLLY JOHNSON
Credential :
Telephone Number : 318-746-4673
Provider Enumeration Date : 01/18/2007
Last Update Date : 09/15/2007

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Directions to “COMMUNITY ANGELS OF HOPE, LLC ” Practice Location

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