Provider Demographics
NPI:1679911614
Name:ANGELUS HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:ANGELUS HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELMER
Authorized Official - Middle Name:PINZON
Authorized Official - Last Name:SAMOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-506-0358
Mailing Address - Street 1:28481 RANCHO CALIFORNIA RD
Mailing Address - Street 2:STE 110
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-3667
Mailing Address - Country:US
Mailing Address - Phone:951-506-0358
Mailing Address - Fax:951-767-8119
Practice Address - Street 1:28481 RANCHO CALIFORNIA RD
Practice Address - Street 2:STE 110
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-3667
Practice Address - Country:US
Practice Address - Phone:951-506-0358
Practice Address - Fax:951-767-8119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based