Provider Demographics
NPI:1336971779
Name:HEALING ANGEL'S IN HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:HEALING ANGEL'S IN HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WAYNETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-710-3918
Mailing Address - Street 1:11465 INDIAN HILLS PL APT 305
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-6120
Mailing Address - Country:US
Mailing Address - Phone:301-710-3918
Mailing Address - Fax:
Practice Address - Street 1:11465 INDIAN HILLS PL APT 305
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-6120
Practice Address - Country:US
Practice Address - Phone:301-710-3918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health