Provider Demographics
NPI:1972749075
Name:ANGELS HOSPICE, LLC
Entity Type:Organization
Organization Name:ANGELS HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AREZOU
Authorized Official - Middle Name:
Authorized Official - Last Name:DADGAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:510-727-9000
Mailing Address - Street 1:19830 LAKE CHABOT RD STE B
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-4063
Mailing Address - Country:US
Mailing Address - Phone:510-727-9000
Mailing Address - Fax:510-727-9832
Practice Address - Street 1:19830 LAKE CHABOT RD STE B
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-4063
Practice Address - Country:US
Practice Address - Phone:510-727-9000
Practice Address - Fax:510-727-9832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-20
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based