MEDICARE: ANGEL'S ARMS HOME HEALTH SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1508354333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL'S ARMS HOME HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	7414 FOOTHILL BLVD
Second Line	:
City	:	TUJUNGA
State	:	CA
Zip	:	91042-2722
Country	:	US
Telephone Number	:	818-638-9450
Fax Number	:	818-638-9454

Provider Business Practice Location Address
First Line	:	7414 FOOTHILL BLVD
Second Line	:
City	:	TUJUNGA
State	:	CA
Zip	:	91042-2722
Country	:	US
Telephone Number	:	818-638-9450
Fax Number	:	818-638-9454

Authorized Official
Title or Position	:	CEO
Name	:	SHERENE K STERLING
Credential	:
Telephone Number	:	818-638-9450

Provider Enumeration Date	:	04/26/2018
Last Update Date	:	10/26/2021

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