Provider Demographics
NPI:1992676100
Name:BETTYS ANGELS HOME CARE GROUP LLC
Entity type:Organization
Organization Name:BETTYS ANGELS HOME CARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:PROPRIETOR
Authorized Official - Phone:313-457-7773
Mailing Address - Street 1:11713 WAYBURN ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48224-1690
Mailing Address - Country:US
Mailing Address - Phone:313-457-7773
Mailing Address - Fax:
Practice Address - Street 1:11713 WAYBURN ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48224-1690
Practice Address - Country:US
Practice Address - Phone:313-457-7773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care