Provider Demographics
NPI:1053580894
Name:ANGELS CARE HOME HEALTH SERVICE, LLC
Entity type:Organization
Organization Name:ANGELS CARE HOME HEALTH SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NYAKEH
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:YOVONIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-206-4495
Mailing Address - Street 1:7606 SLATE RIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-8157
Mailing Address - Country:US
Mailing Address - Phone:614-367-7724
Mailing Address - Fax:614-367-7734
Practice Address - Street 1:7606 SLATE RIDGE BLVD
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-8157
Practice Address - Country:US
Practice Address - Phone:614-367-7724
Practice Address - Fax:614-367-7734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health