Provider Demographics
NPI:1770154171
Name:ARK OF ANGELS HOME HEALTH CARE, INC
Entity type:Organization
Organization Name:ARK OF ANGELS HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SUAH
Authorized Official - Suffix:
Authorized Official - Credentials:MHS, MS
Authorized Official - Phone:610-809-1926
Mailing Address - Street 1:2032 RAVENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:FOLCROFT
Mailing Address - State:PA
Mailing Address - Zip Code:19032-1507
Mailing Address - Country:US
Mailing Address - Phone:610-809-1926
Mailing Address - Fax:
Practice Address - Street 1:2032 RAVENWOOD RD
Practice Address - Street 2:
Practice Address - City:FOLCROFT
Practice Address - State:PA
Practice Address - Zip Code:19032-1507
Practice Address - Country:US
Practice Address - Phone:610-809-1926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-07
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health