Organization
ALPHA ANGEL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIANA JOHNSON (CEO)
(773) 407-8325
Entity
Organization
Contact information
Practice address
4328 S LANGLEY AVE APT 1, CHICAGO, IL 60653-3531
(312) 772-2538
Mailing address
1440 W TAYLOR ST # 381, CHICAGO, IL 60607-4623
(312) 772-2538
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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