Provider Demographics
NPI:1992529259
Name:ANGELS OF COMPASSIONATE CARE HOMEHEALTH SITTERS REGISTRY LLC
Entity type:Organization
Organization Name:ANGELS OF COMPASSIONATE CARE HOMEHEALTH SITTERS REGISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-707-2913
Mailing Address - Street 1:2412 FOX FIELD RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:LA
Mailing Address - Zip Code:70669-2027
Mailing Address - Country:US
Mailing Address - Phone:337-707-2913
Mailing Address - Fax:
Practice Address - Street 1:2412 FOX FIELD RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:LA
Practice Address - Zip Code:70669-2027
Practice Address - Country:US
Practice Address - Phone:337-707-2913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty