Provider Demographics
NPI:1699595629
Name:ELYON ANGELIC CARE AND STAFFING LLC
Entity type:Organization
Organization Name:ELYON ANGELIC CARE AND STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELYON
Authorized Official - Middle Name:
Authorized Official - Last Name:RAAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-525-9157
Mailing Address - Street 1:169 64TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-8632
Mailing Address - Country:US
Mailing Address - Phone:515-525-9157
Mailing Address - Fax:
Practice Address - Street 1:169 64TH ST
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-8632
Practice Address - Country:US
Practice Address - Phone:515-525-9157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care