OrganizationAngelic Personal Care Services, LlcHome HealthAgenciesPractice Address14046 Airline Hwy, Suite B, Gonzales, LA 70737(225) 644-2326PECOS EnrollmentBased on the most recent information from CMS, provider Angelic Personal Care Services, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1093910168Provider TypeOrganizationFull NameAngelic Personal Care Services, LlcSubpartNoEnumeration Date6/19/2007Last Updated11/8/2024Contact InformationPractice LocationPractice Address14046 Airline Hwy, Suite B, Gonzales, LA 70737Phone(225) 644-2326Fax(225) 647-4754Mailing LocationMailing Address14046 Airline Hwy, Suite B, Gonzales, LA 70737Phone(225) 644-2326Fax(225) 647-4754Authorized OfficialNameWilliams, Tiffany Valentine (Administrator)Phone(225) 644-2326Provider TaxonomiesCodeDescriptionLicenseCode251E00000XPrimaryDescriptionHome HealthAgenciesLicenseUnlisted IssuerCode251C00000XDescriptionDay Training, Developmentally Disabled ServicesAgenciesLicense9121LouisianaCode251J00000XDescriptionNursing CareAgenciesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1172308DescriptionOtherIssuerPERSONAL CARE ATTENDANTLouisianaID1145165DescriptionOtherIssuerSUPERVISE INDEP. LIVINGLouisianaID1126187DescriptionOtherIssuerELDERLY DISABLED ADULTSLouisiana