Provider Demographics
NPI:1811028830
Name:CITY OF ANGELS BEST CARE, INC.
Entity Type:Organization
Organization Name:CITY OF ANGELS BEST CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAHREN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAKELYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-484-1530
Mailing Address - Street 1:2252 BEVERLY BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-2236
Mailing Address - Country:US
Mailing Address - Phone:213-484-1530
Mailing Address - Fax:213-484-1461
Practice Address - Street 1:2252 BEVERLY BLVD STE 201
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-2236
Practice Address - Country:US
Practice Address - Phone:213-484-1530
Practice Address - Fax:213-484-1461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058463Medicare Oscar/Certification