Angelic Home Assistance, LLC
Organization Active NPI Home Health Agency · Athens, TN
NPI 1598055162 · NPPES record last updated Apr 15, 2011
Key facts
- NPI
- 1598055162
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 0164603 (TN)
- Legal business name
- ANGELIC HOME ASSISTANCE, LLC
- Practice address
- 9 S Kilgore St
Athens, TN 37303-4291 - Phone
- (423) 252-0001
- Fax
- (423) 453-5526
- NPI assigned
- Apr 15, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Bobby Lee Queen Jr.
- Title
- Owner
- Phone
- (423) 252-0001
National Provider Directory
Locations
9 S Kilgore St
Athens, TN 37303
Phone (423) 252-0001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 0047755 | TN | |
| Home Health Agency | 251E00000X | 0164603 | TN | Yes |
Addresses
Primary practice location
9 S Kilgore St
Athens, TN 37303-4291
Mailing address
9 S Kilgore St
Athens, TN 37303-4291
Phone (423) 252-0001
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- Elisha Arnett
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All providers in Athens, TN · Home Health Agency in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.