Provider Demographics
NPI:1851264113
Name:ANGELIC HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:ANGELIC HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-522-1251
Mailing Address - Street 1:55 KEITH AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-7232
Mailing Address - Country:US
Mailing Address - Phone:540-522-1251
Mailing Address - Fax:
Practice Address - Street 1:531 PLEASANT ST STE 1
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-2500
Practice Address - Country:US
Practice Address - Phone:540-522-1251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health