MEDICARE: NURSES & ANGELS HOSPICE CARE, 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

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

Provider Business Mailing Address
First Line	:	815 CESAR CHAVEZ AVE.
Second Line	:	STE 202
City	:	LOS ANGELES
State	:	CA
Zip	:	90012
Country	:	US
Telephone Number	:	323-447-0290
Fax Number	:	213-613-0680

Provider Business Practice Location Address
First Line	:	815 W CESAR CHAVEZ AVE.
Second Line	:	STE 202
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-2113
Country	:	US
Telephone Number	:	323-447-0290
Fax Number	:	213-613-0680

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. MARIA ANTONETTE VILLANUEVA
Credential	:	R.N
Telephone Number	:	323-447-0290

Provider Enumeration Date	:	07/31/2015
Last Update Date	:	07/31/2015

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