Provider Demographics
NPI:1528829322
Name:HEAVEN ANGELS PRIVATE CAREGIVERS LLC
Entity type:Organization
Organization Name:HEAVEN ANGELS PRIVATE CAREGIVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LLANET
Authorized Official - Middle Name:
Authorized Official - Last Name:ZALIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-317-8631
Mailing Address - Street 1:1918 STEBBINS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-2417
Mailing Address - Country:US
Mailing Address - Phone:832-701-8540
Mailing Address - Fax:
Practice Address - Street 1:1918 STEBBINS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-2417
Practice Address - Country:US
Practice Address - Phone:832-701-8540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-18
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty