Angel Home Hospice LLC
Organization Active NPI Community Based Hospice Care Agency · Providence, UT
NPI 1730859786 · NPPES record last updated Sep 20, 2021
Key facts
- NPI
- 1730859786
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- ANGEL HOME HOSPICE LLC
- Practice address
- 169 N Gateway Dr Ste 227
Providence, UT 84332-9856 - Phone
- (360) 852-4167
- NPI assigned
- Sep 20, 2021
- Organization subpart
- No
Authorized official
- Name
- Kim Oates
- Title
- Owner
- Phone
- (360) 852-4167
National Provider Directory
Locations
169 N Gateway Dr
Ste 227
Providence, UT 84332
Phone (360) 852-4167
169 N Gateway Dr
Ste 170
Providence, UT 84332
Phone (435) 213-3597
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
169 N Gateway Dr Ste 227
Providence, UT 84332-9856
Mailing address
169 N Gateway Dr Ste 170
Providence, UT 84332-9855
Phone (360) 852-4167
Other providers in Providence, UT
- Ty Bracken Aller
- Gregory J Allred
- Heather B Allred
- Darren V Anderson
- Kent W Anderson
- Rachel Archibald
- Maeci Hicken Armstrong
- Andrea Arnell
- Jessica Anna Ash
- At Home Dermatology PLLC
All providers in Providence, UT · Community Based Hospice Care Agency in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2021. 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.