Provider Demographics
NPI:1053616011
Name:THE ANGELS HOME HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:THE ANGELS HOME HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:C
Authorized Official - Last Name:AKABUAKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-577-1126
Mailing Address - Street 1:2244 S HAMILTON RD STE 101
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4390
Mailing Address - Country:US
Mailing Address - Phone:614-577-1126
Mailing Address - Fax:614-577-1185
Practice Address - Street 1:2244 S HAMILTON RD STE 101
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-4390
Practice Address - Country:US
Practice Address - Phone:614-577-1126
Practice Address - Fax:614-577-1185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-21
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1985276251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3019432Medicaid
OH3019432Medicaid