Provider Demographics
NPI:1730597261
Name:CARING ANGEL
Entity type:Organization
Organization Name:CARING ANGEL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CNA
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:740-816-1748
Mailing Address - Street 1:1952 COUNTY ROAD 170
Mailing Address - Street 2:
Mailing Address - City:MARENGO
Mailing Address - State:OH
Mailing Address - Zip Code:43334-9662
Mailing Address - Country:US
Mailing Address - Phone:740-816-1748
Mailing Address - Fax:
Practice Address - Street 1:1952 COUNTY ROAD 170
Practice Address - Street 2:
Practice Address - City:MARENGO
Practice Address - State:OH
Practice Address - Zip Code:43334-9662
Practice Address - Country:US
Practice Address - Phone:740-816-1748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-29
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization