Provider Demographics
NPI:1871824169
Name:ANGELCARE HOME HEALTH PROVIDERS, INC.
Entity Type:Organization
Organization Name:ANGELCARE HOME HEALTH PROVIDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:MUSNGI
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:951-738-8282
Mailing Address - Street 1:710 RIMPAU AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-5723
Mailing Address - Country:US
Mailing Address - Phone:951-738-8282
Mailing Address - Fax:951-738-8585
Practice Address - Street 1:710 RIMPAU AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-5723
Practice Address - Country:US
Practice Address - Phone:951-738-8282
Practice Address - Fax:951-738-8585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-26
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health