Provider Demographics
NPI:1568861946
Name:HOUSE OF ANGELS HOSPICE INC.
Entity Type:Organization
Organization Name:HOUSE OF ANGELS HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:ESPARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-538-5289
Mailing Address - Street 1:5627 SEPULVEDA BLVD
Mailing Address - Street 2:218
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-2920
Mailing Address - Country:US
Mailing Address - Phone:818-538-5289
Mailing Address - Fax:818-237-3038
Practice Address - Street 1:5627 SEPULVEDA BLVD
Practice Address - Street 2:218
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-2920
Practice Address - Country:US
Practice Address - Phone:818-538-5289
Practice Address - Fax:818-237-3038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-21
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based