Provider Demographics
NPI:1053912394
Name:ANGEL VISITING HANDS HEALTHCARE SERVICES
Entity type:Organization
Organization Name:ANGEL VISITING HANDS HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELINE
Authorized Official - Middle Name:VILDORT
Authorized Official - Last Name:NHERISSON
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:617-304-1776
Mailing Address - Street 1:16 BERWICK ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-4908
Mailing Address - Country:US
Mailing Address - Phone:978-967-7680
Mailing Address - Fax:
Practice Address - Street 1:16 BERWICK ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-4908
Practice Address - Country:US
Practice Address - Phone:978-967-7680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty