Provider Demographics
NPI:1013612555
Name:ANGEL COMFORT CARE INC
Entity Type:Organization
Organization Name:ANGEL COMFORT CARE INC
Other - Org Name:ANGEL COMFORT CARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANGELINA
Authorized Official - Middle Name:MIRANDA
Authorized Official - Last Name:TEVES
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:562-826-7205
Mailing Address - Street 1:9511 LANDFALL DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-8211
Mailing Address - Country:US
Mailing Address - Phone:562-826-7205
Mailing Address - Fax:
Practice Address - Street 1:9511 LANDFALL DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-8211
Practice Address - Country:US
Practice Address - Phone:562-826-7205
Practice Address - Fax:714-698-8070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility