Organization
LOVING ANGELS HOMECARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA GIST (MANAGER)
(347) 470-1521
Entity
Organization
Contact information
Practice address
7356 S PAXTON AVE, CHICAGO, IL 60649-3213
(347) 470-1521
Mailing address
7356 S PAXTON AVE, CHICAGO, IL 60649-3213
(347) 470-1521
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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