Provider Demographics
NPI:1447131016
Name:EARTH ANGELS SENIOR SERVICES
Entity type:Organization
Organization Name:EARTH ANGELS SENIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHANTE
Authorized Official - Middle Name:
Authorized Official - Last Name:WINGARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-518-8771
Mailing Address - Street 1:3392 CHELSEA CIR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-2718
Mailing Address - Country:US
Mailing Address - Phone:734-518-8771
Mailing Address - Fax:
Practice Address - Street 1:3392 CHELSEA CIR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-2718
Practice Address - Country:US
Practice Address - Phone:734-518-8771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care