Provider Demographics
NPI:1306632856
Name:EARTH ANGELS HEALTHCARE SERVICES LLC.
Entity type:Organization
Organization Name:EARTH ANGELS HEALTHCARE SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:L
Authorized Official - Last Name:GUY
Authorized Official - Suffix:
Authorized Official - Credentials:HOME HEALTH AGENCY
Authorized Official - Phone:443-704-7047
Mailing Address - Street 1:2210 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-1032
Mailing Address - Country:US
Mailing Address - Phone:443-704-7047
Mailing Address - Fax:
Practice Address - Street 1:2210 GREEN ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-1032
Practice Address - Country:US
Practice Address - Phone:443-704-7047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care