Provider Demographics
NPI:1437980323
Name:ANGELS FROM HEAVEN LLC
Entity type:Organization
Organization Name:ANGELS FROM HEAVEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-785-2388
Mailing Address - Street 1:3939 US HIGHWAY 80 E STE 143R
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-3300
Mailing Address - Country:US
Mailing Address - Phone:214-785-2388
Mailing Address - Fax:
Practice Address - Street 1:3939 US HIGHWAY 80 E STE 143R
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-3300
Practice Address - Country:US
Practice Address - Phone:214-785-2388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care