# LYDIA ANGELS AT HOME LLC

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

## Provider details

- **NPI number:** 1740852573
- **Authorized official:** LYDIA A MOKOENA (OWNER)
- **Authorized official phone:** (774) 329-6133

## Contact information

- **Practice address:** 287 GROVE ST, BUILDING D, SUITE 204, ROOM NO. 275, WORCESTER, MA 01605-3905
- **Practice address phone:** (774) 329-6133
- **Practice address fax:** (978) 514-7222
- **Mailing address:** 499 MECHANIC ST, LEOMINSTER, MA 01453-4431
- **Mailing address phone:** (774) 329-6133
- **Mailing address fax:** (978) 514-7222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/12/2021
- **Last updated:** 06/05/2026
