Provider Demographics
NPI:1851021539
Name:FELICIDADE LLC
Entity Type:Organization
Organization Name:FELICIDADE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NEVINO
Authorized Official - Middle Name:
Authorized Official - Last Name:ROCCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-386-2425
Mailing Address - Street 1:12 S RAYMOND AVE STE C
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-1975
Mailing Address - Country:US
Mailing Address - Phone:626-386-2425
Mailing Address - Fax:626-386-2425
Practice Address - Street 1:12 S RAYMOND AVE STE C
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-1975
Practice Address - Country:US
Practice Address - Phone:626-386-2425
Practice Address - Fax:626-386-2425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care