Provider Demographics
NPI:1922971860
Name:ANGELS HOME HEALTH AGENCY
Entity type:Organization
Organization Name:ANGELS HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ASONIBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-264-4227
Mailing Address - Street 1:1325 BOYD ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-5086
Mailing Address - Country:US
Mailing Address - Phone:469-264-4227
Mailing Address - Fax:877-850-5030
Practice Address - Street 1:1325 BOYD ST
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-5086
Practice Address - Country:US
Practice Address - Phone:469-264-4227
Practice Address - Fax:469-264-4227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health