# ANGEL IN-HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083954721
- **Authorized official:** MR. TYRONE STEVENSON (PRESIDENT)
- **Authorized official phone:** (219) 230-6330

## Contact information

- **Practice address:** 6534 FOREST AVE, HAMMOND, IN 46324-1016
- **Practice address phone:** (219) 230-6330
- **Mailing address:** 6534 FOREST AVE, HAMMOND, IN 46324-1016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 12013046 | IN | Yes |

## Other

- **Enumeration date:** 02/17/2013
- **Last updated:** 02/17/2013