Provider Demographics
NPI:1326418914
Name:ANGELS HOME CARE
Entity Type:Organization
Organization Name:ANGELS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ESMIRIA
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-926-5869
Mailing Address - Street 1:8501 WILSHIRE BLVD.
Mailing Address - Street 2:SUITE 336 B
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3101
Mailing Address - Country:US
Mailing Address - Phone:310-926-5869
Mailing Address - Fax:310-289-5148
Practice Address - Street 1:8501 WILSHIRE BLVD.
Practice Address - Street 2:SUITE 336B
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3101
Practice Address - Country:US
Practice Address - Phone:310-926-5869
Practice Address - Fax:310-289-5148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-25
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty