Provider Demographics
NPI:1902662505
Name:CARING ANGELS INTERNATIONAL OF PENNSYLVANIA, LLC
Entity Type:Organization
Organization Name:CARING ANGELS INTERNATIONAL OF PENNSYLVANIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMOS
Authorized Official - Middle Name:CLAY
Authorized Official - Last Name:TARLEY
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:302-983-4692
Mailing Address - Street 1:12 MAPLESHADE RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-8419
Mailing Address - Country:US
Mailing Address - Phone:302-983-4692
Mailing Address - Fax:302-282-7521
Practice Address - Street 1:6924 GARMAN ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19142-2121
Practice Address - Country:US
Practice Address - Phone:302-482-1577
Practice Address - Fax:302-286-7521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty