Provider Demographics
NPI:1437414414
Name:ANGELS CARE HOSPICE, INC.
Entity Type:Organization
Organization Name:ANGELS CARE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ODETTE
Authorized Official - Middle Name:GUERERRO
Authorized Official - Last Name:SABIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-453-1158
Mailing Address - Street 1:9612 VAN NUYS BLVD.
Mailing Address - Street 2:SUITE 208
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-1023
Mailing Address - Country:US
Mailing Address - Phone:818-453-1158
Mailing Address - Fax:818-671-3155
Practice Address - Street 1:9612 VAN NUYS BLVD.
Practice Address - Street 2:SUITE 208
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-1023
Practice Address - Country:US
Practice Address - Phone:818-453-1158
Practice Address - Fax:818-671-3155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-06
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC3482544251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based