Provider Demographics
NPI:1992073837
Name:ANGELS 2 YOU LLC
Entity type:Organization
Organization Name:ANGELS 2 YOU LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LACY
Authorized Official - Middle Name:E
Authorized Official - Last Name:NEWBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:915-581-8079
Mailing Address - Street 1:5801 DUMONT LN
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-5315
Mailing Address - Country:US
Mailing Address - Phone:915-581-8079
Mailing Address - Fax:888-484-9858
Practice Address - Street 1:5801 DUMONT LN
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-5315
Practice Address - Country:US
Practice Address - Phone:915-581-8079
Practice Address - Fax:888-484-9858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-07
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX014695251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX014695OtherTEXAS LINCENSE
TX014695OtherSTATE LINCENSE
TX74-7872OtherTPIN
TX0000000OtherCHAPS ACCREDIDATION
TXNONEOtherCHAPS ACCREDIDATION
TX014695OtherSTATE LINCENSE