# ALPHA ANGEL HEALTH CARE

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

## Provider details

- **NPI number:** 1518712215
- **Authorized official:** MS. TIANA JOHNSON (CEO)
- **Authorized official phone:** (773) 407-8325

## Contact information

- **Practice address:** 4328 S LANGLEY AVE APT 1, CHICAGO, IL 60653-3531
- **Practice address phone:** (312) 772-2538
- **Mailing address:** 1440 W TAYLOR ST \# 381, CHICAGO, IL 60607-4623
- **Mailing address phone:** (312) 772-2538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 04/17/2024
- **Last updated:** 04/17/2024