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General NPI Number Information
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NPI Number | 1396389151
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Entity Type | Organization
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Legal Business Name | COMFORT ANGELS IN HOME CARE AGENCY,INC
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Dates
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Enumeration Date | 11/04/2019
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Last Update Date | 08/23/2025
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Provider Practice Location Address
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Address Line | 42808 CHRISTY ST STE 124
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City | FREMONT
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State | CA
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Zip | 94538-3156
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Country | US
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Telephone | 650-271-0649
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Fax | 510-991-8622
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Provider Business Mailing Address
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Address Line | 960 PARK PLACE CT
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City | LATHROP
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State | CA
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Zip | 95330-8578
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Country | US
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Telephone | 650-271-0649
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Fax | 510-573-4721
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Authorized Official
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Title or Position | OWNER/ MANAGER
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Name | MAGNOLIA DE LOYOLA VILLA
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Credential |
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Telephone | 650-271-0649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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