# ANGEL'S LEGACY HOME CARE LLC

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

## Provider details

- **NPI number:** 1548012115
- **Authorized official:** DADREALE SOPSHER (CEO)
- **Authorized official phone:** (985) 402-0355

## Contact information

- **Practice address:** 12399 CENTRAL AVE, ROSELAND, LA 70456-3622
- **Practice address phone:** (985) 402-0355
- **Mailing address:** PO BOX 80, ROSELAND, LA 70456-0080
- **Mailing address phone:** (985) 402-0355

## 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:** 04/04/2024
- **Last updated:** 04/04/2024