Provider Demographics
NPI:1043032436
Name:ANGELS OF TEXAS HOMEHEALTH LLC
Entity type:Organization
Organization Name:ANGELS OF TEXAS HOMEHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAHBAA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAIDAN
Authorized Official - Suffix:
Authorized Official - Credentials:PDD
Authorized Official - Phone:346-573-2739
Mailing Address - Street 1:469 EMERALD BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:HORIZON CITY
Mailing Address - State:TX
Mailing Address - Zip Code:79928-6470
Mailing Address - Country:US
Mailing Address - Phone:346-573-2739
Mailing Address - Fax:866-200-2812
Practice Address - Street 1:3726 ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2507
Practice Address - Country:US
Practice Address - Phone:346-573-2739
Practice Address - Fax:866-200-2812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty