Provider Demographics
NPI:1932918174
Name:HEAVENLY ANGELS COMMUNITY SERVICES
Entity type:Organization
Organization Name:HEAVENLY ANGELS COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LELA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:LEMELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-265-5031
Mailing Address - Street 1:417 WRENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-3398
Mailing Address - Country:US
Mailing Address - Phone:661-265-5031
Mailing Address - Fax:866-574-4417
Practice Address - Street 1:3237 W AVENUE K4
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536-6616
Practice Address - Country:US
Practice Address - Phone:661-265-5031
Practice Address - Fax:866-574-4417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health