Provider Demographics
NPI:1114083755
Name:ANGELS OF HANDS HOME HEALTH AGENCY CORP
Entity type:Organization
Organization Name:ANGELS OF HANDS HOME HEALTH AGENCY CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LVN/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ZETTIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-541-8197
Mailing Address - Street 1:PO BOX 181
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75123-0181
Mailing Address - Country:US
Mailing Address - Phone:972-217-9297
Mailing Address - Fax:972-572-1890
Practice Address - Street 1:1801 N HAMPTON RD STE 382
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-8308
Practice Address - Country:US
Practice Address - Phone:214-541-8197
Practice Address - Fax:214-613-6696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA0600X, 310400000X, 3747P1801X
TX008812251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001013073Medicaid
TX105128Medicaid
TX001021367Medicaid
TX001013074Medicaid
TX001013073Medicaid