Healthcare Provider Details

I. General information

NPI: 1588575708
Provider Name (Legal Business Name): ANGELIC HOUSING RESOURCES FOUNDATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GOFF CT
SACRAMENTO CA
95838-2121
US

IV. Provider business mailing address

3550 WATT AVE STE 140
SACRAMENTO CA
95821-2666
US

V. Phone/Fax

Practice location:
  • Phone: 916-432-8055
  • Fax:
Mailing address:
  • Phone: 916-432-8055
  • Fax: 916-249-4977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ANGELA JONES
Title or Position: FOUNDER
Credential:
Phone: 916-384-5763