Healthcare Provider Details

I. General information

NPI: 1063898187
Provider Name (Legal Business Name): NURSES & ANGELS HOSPICE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2015
Last Update Date: 07/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 W CESAR CHAVEZ AVE. STE 202
LOS ANGELES CA
90012-2113
US

IV. Provider business mailing address

815 CESAR CHAVEZ AVE. STE 202
LOS ANGELES CA
90012
US

V. Phone/Fax

Practice location:
  • Phone: 323-447-0290
  • Fax: 213-613-0680
Mailing address:
  • Phone: 323-447-0290
  • Fax: 213-613-0680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARIA ANTONETTE VILLANUEVA
Title or Position: ADMINISTRATOR
Credential: R.N
Phone: 323-447-0290