Provider Demographics
NPI:1902454838
Name:ANGELIC CARE SERVICES
Entity Type:Organization
Organization Name:ANGELIC CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-228-0203
Mailing Address - Street 1:4480 GENERAL DEGAULLE DR STE 223
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-6306
Mailing Address - Country:US
Mailing Address - Phone:504-391-0068
Mailing Address - Fax:504-391-0630
Practice Address - Street 1:4480 GENERAL DEGAULLE DR STE 223
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-6306
Practice Address - Country:US
Practice Address - Phone:504-391-0068
Practice Address - Fax:504-391-0630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No174200000XOther Service ProvidersMealsGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty