Provider Demographics
NPI:1538021860
Name:SOUTHERN ANGELS HOMECARE LLC
Entity type:Organization
Organization Name:SOUTHERN ANGELS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HINKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-363-8200
Mailing Address - Street 1:34641 GRANTHAM COLLEGE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70460-6812
Mailing Address - Country:US
Mailing Address - Phone:985-363-8200
Mailing Address - Fax:985-363-8201
Practice Address - Street 1:34641 GRANTHAM COLLEGE DR STE 1
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70460-6812
Practice Address - Country:US
Practice Address - Phone:985-363-8200
Practice Address - Fax:985-363-8201
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTHERN ANGELS HOMECARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-25
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty