Provider Demographics
NPI:1558792879
Name:ANGELS IN THE HOME, LLC
Entity type:Organization
Organization Name:ANGELS IN THE HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, CHCE
Authorized Official - Phone:515-222-2285
Mailing Address - Street 1:12107 STRATFORD DR
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-8146
Mailing Address - Country:US
Mailing Address - Phone:515-645-9117
Mailing Address - Fax:515-309-0651
Practice Address - Street 1:1801 25TH ST
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1416
Practice Address - Country:US
Practice Address - Phone:515-645-9117
Practice Address - Fax:515-309-0651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health