Organization
GYPSY'S ANGELS HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIQUITTA RUSSELL (OWNER)
(216) 322-3909
Entity
Organization
Contact information
Practice address
1115 E 114TH ST, CLEVELAND, OH 44108-3744
(216) 322-3909
(216) 274-9838
Mailing address
1115 E 114TH ST, CLEVELAND, OH 44108-3744
(216) 322-3909
(216) 274-9838
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0407914
—
OH
Enumeration date
05/13/2021
Last updated
01/23/2023
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