Provider Demographics
NPI:1588496012
Name:ANGELIC HEALTHCARE NEW JERSEY INC.
Entity type:Organization
Organization Name:ANGELIC HEALTHCARE NEW JERSEY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ZENITH
Authorized Official - Middle Name:
Authorized Official - Last Name:YLANAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:908-801-3694
Mailing Address - Street 1:906 OAK TREE AVE STE F
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-5133
Mailing Address - Country:US
Mailing Address - Phone:908-843-5763
Mailing Address - Fax:
Practice Address - Street 1:906 OAK TREE AVE STE F
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-5133
Practice Address - Country:US
Practice Address - Phone:908-843-5763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health