Provider Demographics
NPI:1194604454
Name:WHITE ANGEL ADULT HOME CARE LLC
Entity type:Organization
Organization Name:WHITE ANGEL ADULT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER (MANAGER)
Authorized Official - Prefix:MR
Authorized Official - First Name:ESSAHA
Authorized Official - Middle Name:AY
Authorized Official - Last Name:CEESAY
Authorized Official - Suffix:
Authorized Official - Credentials:ESSAHA AY CEESAAY
Authorized Official - Phone:608-556-3390
Mailing Address - Street 1:2485 WILDCAT DR
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53711-9139
Mailing Address - Country:US
Mailing Address - Phone:608-556-3390
Mailing Address - Fax:
Practice Address - Street 1:2485 WILDCAT DR
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53711-9139
Practice Address - Country:US
Practice Address - Phone:608-556-3390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-30
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility