Provider Demographics
NPI:1851189740
Name:ARCH ANGELS HOME CARE, LLC
Entity type:Organization
Organization Name:ARCH ANGELS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EVANGELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NOSIKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:617-407-2399
Mailing Address - Street 1:2 TWINBROOK DR
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:MA
Mailing Address - Zip Code:02343-1884
Mailing Address - Country:US
Mailing Address - Phone:617-407-2399
Mailing Address - Fax:
Practice Address - Street 1:2 TWINBROOK DR
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:MA
Practice Address - Zip Code:02343-1884
Practice Address - Country:US
Practice Address - Phone:617-407-2399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251G00000XAgenciesHospice Care, Community Based
No385H00000XRespite Care FacilityRespite Care