Provider Demographics
NPI:1073806642
Name:ANGELS HOME HEALTH CORPORATION
Entity Type:Organization
Organization Name:ANGELS HOME HEALTH CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:I
Authorized Official - Last Name:CAMUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-799-5464
Mailing Address - Street 1:555 S SUNRISE WAY STE 217
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92264-7869
Mailing Address - Country:US
Mailing Address - Phone:760-799-5464
Mailing Address - Fax:760-656-8913
Practice Address - Street 1:555 S SUNRISE WAY STE 217
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92264-7869
Practice Address - Country:US
Practice Address - Phone:760-656-8912
Practice Address - Fax:760-656-8913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-16
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC3376056OtherCORPORATION