1831311026 NPI number — ANGELS HOME CARE, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831311026 NPI number — ANGELS HOME CARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANGELS HOME CARE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831311026
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1301 W 2ND ST
Provider Second Line Business Mailing Address:
SUITE 206
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90026-5859
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
213-481-2500
Provider Business Mailing Address Fax Number:
213-481-2555

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1301 W 2ND ST
Provider Second Line Business Practice Location Address:
SUITE 206
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90026-5859
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-481-2500
Provider Business Practice Location Address Fax Number:
213-481-2555
Provider Enumeration Date:
05/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ABREA
Authorized Official First Name:
NOLITA
Authorized Official Middle Name:
G
Authorized Official Title or Position:
DIRECTOR OF PATIENT CARE SERVICES
Authorized Official Telephone Number:
213-494-1093

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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