MEDICARE: ANGELCARE HOMES, 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	310400000X	Assisted Living Facility	110423	TX
2	3104A0630X	Assisted Living Facility (Behavioral Disturbances)	108517	TX

General Provider Information

NPI Number	:	1831444389
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELCARE HOMES, LLC

Provider Business Mailing Address
First Line	:	1016 PALM VALLEY DR E
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78552-9046
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	27927 PALM BLVD
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78552-1813
Country	:	US
Telephone Number	:	956-425-3944
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JANICE HAHN ROBINSON
Credential	:
Telephone Number	:	956-357-1524

Provider Enumeration Date	:	07/20/2012
Last Update Date	:	07/20/2012

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