MEDICARE: FELICIDADE LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1851021539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FELICIDADE LLC

Provider Business Mailing Address
First Line	:	12 S RAYMOND AVE STE C
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-1975
Country	:	US
Telephone Number	:	626-386-2425
Fax Number	:	626-386-2425

Provider Business Practice Location Address
First Line	:	12 S RAYMOND AVE STE C
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-1975
Country	:	US
Telephone Number	:	626-386-2425
Fax Number	:	626-386-2425

Authorized Official
Title or Position	:	OWNER / CEO
Name	:	MR. NEVINO ROCCO
Credential	:
Telephone Number	:	626-386-2425

Provider Enumeration Date	:	06/14/2022
Last Update Date	:	06/14/2022

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Directions to “FELICIDADE LLC ” Practice Location

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