Provider Demographics
NPI:1871294892
Name:TRUSTED ANGELS HEALTH SERVICES LLC
Entity type:Organization
Organization Name:TRUSTED ANGELS HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ODELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BREW
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:860-335-4397
Mailing Address - Street 1:378 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-4121
Mailing Address - Country:US
Mailing Address - Phone:860-335-4397
Mailing Address - Fax:
Practice Address - Street 1:378 MAIN ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-4121
Practice Address - Country:US
Practice Address - Phone:860-335-4397
Practice Address - Fax:860-469-2322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health