Provider Demographics
NPI:1215353354
Name:HOME ANGELS HOME HEALTH CARE
Entity type:Organization
Organization Name:HOME ANGELS HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RACELIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-931-5012
Mailing Address - Street 1:4124 164TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087-6908
Mailing Address - Country:US
Mailing Address - Phone:425-931-5012
Mailing Address - Fax:206-322-1801
Practice Address - Street 1:4124 164TH ST SW
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-6908
Practice Address - Country:US
Practice Address - Phone:425-931-5012
Practice Address - Fax:206-322-1801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-13
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health