OrganizationAngel Support Home Care, LlcIn Home Supportive CareAgenciesPractice Address1254 W Chester Pike Ste 105, Havertown, PA 19083-3338(610) 605-9010PECOS EnrollmentBased on the most recent information from CMS, provider Angel Support Home Care, 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 6 days ago.Profile DetailsProvider ID1538859905Provider TypeOrganizationFull NameAngel Support Home Care, LlcSubpartNoEnumeration Date5/10/2023Last Updated5/10/2023Contact InformationPractice LocationPractice Address1254 W Chester Pike Ste 105, Havertown, PA 19083-3338Phone(610) 605-9010Fax(610) 605-9011Mailing LocationMailing Address1254 W Chester Pike Ste 105, Havertown, PA 19083-3338Phone(610) 605-9010Fax(610) 605-9011Authorized OfficialNameSiddiqi, Md Hossain (Secretary)Phone(347) 468-0899Provider TaxonomiesCodeDescriptionLicenseCode253Z00000XPrimaryDescriptionIn Home Supportive CareAgenciesLicenseUnlisted Issuer