MEDICARE: ANGELS HOME HEALTH CORPORATION

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	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C3376056	OTHER	CA	CORPORATION

General Provider Information

NPI Number	:	1073806642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELS HOME HEALTH CORPORATION

Provider Business Mailing Address
First Line	:	555 S SUNRISE WAY STE 217
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92264-7869
Country	:	US
Telephone Number	:	760-799-5464
Fax Number	:	760-656-8913

Provider Business Practice Location Address
First Line	:	555 S SUNRISE WAY STE 217
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92264-7869
Country	:	US
Telephone Number	:	760-656-8912
Fax Number	:	760-656-8913

Authorized Official
Title or Position	:	CEO
Name	:	CLAIRE I CAMUA
Credential	:
Telephone Number	:	760-799-5464

Provider Enumeration Date	:	05/16/2011
Last Update Date	:	10/11/2022

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Directions to “ANGELS HOME HEALTH CORPORATION ” Practice Location

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