Provider Demographics
NPI:1043765233
Name:ANGEL CARE LLC
Entity type:Organization
Organization Name:ANGEL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:MCGILLIVRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-390-1551
Mailing Address - Street 1:901 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:HAVRE
Mailing Address - State:MT
Mailing Address - Zip Code:59501-4405
Mailing Address - Country:US
Mailing Address - Phone:406-390-1551
Mailing Address - Fax:
Practice Address - Street 1:901 1ST AVE
Practice Address - Street 2:
Practice Address - City:HAVRE
Practice Address - State:MT
Practice Address - Zip Code:59501-4405
Practice Address - Country:US
Practice Address - Phone:406-390-1551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No385H00000XRespite Care FacilityRespite Care