Provider Demographics
NPI:1265843957
Name:ANGELS IN MOTION, LLC
Entity Type:Organization
Organization Name:ANGELS IN MOTION, LLC
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOMINIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-590-9102
Mailing Address - Street 1:4091 RIVERSIDE DR
Mailing Address - Street 2:SUITE 111
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-6501
Mailing Address - Country:US
Mailing Address - Phone:909-590-9102
Mailing Address - Fax:909-590-9239
Practice Address - Street 1:4091 RIVERSIDE DR
Practice Address - Street 2:SUITE 111
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-6501
Practice Address - Country:US
Practice Address - Phone:909-590-9102
Practice Address - Fax:909-590-9239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-15
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health