Organization
ANGEL HOME CARE AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONIKA GAYAN (ADMINISTRATOR)
(718) 980-2273
Entity
Organization
Contact information
Practice address
1422 HYLAN BLVD FL 2, STATEN ISLAND, NY 10305-1923
(718) 980-2273
Mailing address
1422 HYLAN BLVD, 2ND FLOOR, STATEN ISLAND, NY 10305
(718) 980-2273
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2187L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04665490
—
NY
Enumeration date
08/23/2017
Last updated
07/21/2022
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