Healthcare Provider Details

I. General information

NPI: 1417109299
Provider Name (Legal Business Name): NURSES AND ANGELS HOME HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2008
Last Update Date: 10/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 W CESAR E CHAVEZ AVE STE 202
LOS ANGELES CA
90012-6601
US

IV. Provider business mailing address

815 W CESAR E CHAVEZ AVE STE 202
LOS ANGELES CA
90012-6601
US

V. Phone/Fax

Practice location:
  • Phone: 323-447-0290
  • Fax:
Mailing address:
  • Phone: 323-447-0290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number163WH0200X
License Number State

VIII. Authorized Official

Name: MRS. MARIA ANTONETTE VILLANUEVA
Title or Position: SECRETARY
Credential: RN
Phone: 323-982-9936