Provider Demographics
NPI:1033711056
Name:ANGELS OF VALLEY HOSPICE CARE INC
Entity Type:Organization
Organization Name:ANGELS OF VALLEY HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:AQUINO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:818-970-8384
Mailing Address - Street 1:13609 VICTORY BLVD STE 127
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-6412
Mailing Address - Country:US
Mailing Address - Phone:818-970-8384
Mailing Address - Fax:
Practice Address - Street 1:13609 VICTORY BLVD STE 127
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-6412
Practice Address - Country:US
Practice Address - Phone:818-970-8384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based