MEDICARE: ANGEL TOUCH 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1881425379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL TOUCH HOME CARE LLC

Provider Business Mailing Address
First Line	:	37513 ROSEBUSH ST
Second Line	:
City	:	STERLING HTS
State	:	MI
Zip	:	48310-3813
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	37513 ROSEBUSH ST
Second Line	:
City	:	STERLING HTS
State	:	MI
Zip	:	48310-3813
Country	:	US
Telephone Number	:	586-343-3081
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANDY SHAMOON
Credential	:
Telephone Number	:	586-343-3081

Provider Enumeration Date	:	08/08/2024
Last Update Date	:	05/13/2026

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