Provider Demographics
NPI:1891673398
Name:HOMEBASE ANGEL CARE LLC
Entity type:Organization
Organization Name:HOMEBASE ANGEL CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MS
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:R
Authorized Official - Last Name:DOKINS
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:623-401-9569
Mailing Address - Street 1:10865 N 85TH AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-6521
Mailing Address - Country:US
Mailing Address - Phone:623-401-9569
Mailing Address - Fax:480-508-1649
Practice Address - Street 1:10865 N 85TH AVE STE 4
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-6521
Practice Address - Country:US
Practice Address - Phone:623-401-9569
Practice Address - Fax:480-508-1649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-22
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care