Provider Demographics
NPI:1487145876
Name:ANNGELIC HOME CARE LLC
Entity type:Organization
Organization Name:ANNGELIC HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARION
Authorized Official - Middle Name:S
Authorized Official - Last Name:PREYEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-262-5052
Mailing Address - Street 1:19 HINES ST
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36460-1833
Mailing Address - Country:US
Mailing Address - Phone:800-262-5052
Mailing Address - Fax:251-651-6615
Practice Address - Street 1:19 HINES ST
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36460-1833
Practice Address - Country:US
Practice Address - Phone:888-659-6615
Practice Address - Fax:251-216-4167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-22
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care