Provider Demographics
NPI:1902318124
Name:ANGEL HANDS HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:ANGEL HANDS HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:NATASHA
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-864-8181
Mailing Address - Street 1:6600 YORK RD STE 207
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-2024
Mailing Address - Country:US
Mailing Address - Phone:410-864-8181
Mailing Address - Fax:410-510-1766
Practice Address - Street 1:6600 YORK RD STE 207
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-2024
Practice Address - Country:US
Practice Address - Phone:410-864-8181
Practice Address - Fax:410-510-1766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-27
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QH0100X, 261QH0100X, 261QM0801X
MD305S00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No305S00000XManaged Care OrganizationsPoint of Service
No253Z00000XAgenciesIn Home Supportive Care