Provider Demographics
NPI:1730305806
Name:ANOINTED ANGELS HOMECARE LLC
Entity type:Organization
Organization Name:ANOINTED ANGELS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LASHONDA
Authorized Official - Middle Name:W
Authorized Official - Last Name:BROOM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:985-853-8560
Mailing Address - Street 1:405 WESTSIDE BLVD
Mailing Address - Street 2:SUITE 36
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70364-2392
Mailing Address - Country:US
Mailing Address - Phone:985-853-8560
Mailing Address - Fax:985-853-8568
Practice Address - Street 1:405 WESTSIDE BLVD
Practice Address - Street 2:SUITE 36
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70364-2392
Practice Address - Country:US
Practice Address - Phone:985-853-8560
Practice Address - Fax:985-853-8568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care