Provider Demographics
NPI:1538738174
Name:ANGELS ON HAND, LLC
Entity type:Organization
Organization Name:ANGELS ON HAND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:TINNER
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:757-292-6773
Mailing Address - Street 1:4401 GREENDELL RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-5213
Mailing Address - Country:US
Mailing Address - Phone:757-292-6773
Mailing Address - Fax:757-673-3163
Practice Address - Street 1:113 WILLOW ST
Practice Address - Street 2:
Practice Address - City:POCOMOKE CITY
Practice Address - State:MD
Practice Address - Zip Code:21851-1036
Practice Address - Country:US
Practice Address - Phone:757-292-6773
Practice Address - Fax:757-673-3163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care