Provider Demographics
NPI:1902615958
Name:ANGELS CARE HOME HEALTH AGENCY, LLC
Entity type:Organization
Organization Name:ANGELS CARE HOME HEALTH AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LUCENY
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORVEUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-859-7404
Mailing Address - Street 1:4028 HOLCOMB BRIDGE RD STE 150
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE COR
Mailing Address - State:GA
Mailing Address - Zip Code:30092-4657
Mailing Address - Country:US
Mailing Address - Phone:786-859-7404
Mailing Address - Fax:
Practice Address - Street 1:4028 HOLCOMB BRIDGE RD STE 150
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-4657
Practice Address - Country:US
Practice Address - Phone:786-859-7404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-04
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care