Provider Demographics
NPI:1245656578
Name:NUANGELS HOME CARE
Entity type:Organization
Organization Name:NUANGELS HOME CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUMPLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-672-5592
Mailing Address - Street 1:1800 MLK PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-3500
Mailing Address - Country:US
Mailing Address - Phone:919-672-5592
Mailing Address - Fax:919-573-9158
Practice Address - Street 1:1800 MLK PKWY STE 103
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-3500
Practice Address - Country:US
Practice Address - Phone:919-672-5592
Practice Address - Fax:919-573-9158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-11
Last Update Date:2019-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care