Active NPI
Angeleno Community Home Health Inc.
- Home Health Agency
- Monterey Park, CA
National Provider Identifier
1013651520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ANGELENO COMMUNITY HOME HEALTH INC.
- Doing business as
- Angeleno Community Home Health Inc
- Practice address
- 925 S Atlantic Blvd Ste 204a
Monterey Park, CA 91754-1063 - Phone
- (626) 641-2911
- NPI assigned
- Apr 21, 2022
- Last updated
- Apr 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olivia Vallejo-Gonzalez
- Title
- Ceo
- Phone
- (323) 420-3470
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
925 S Atlantic Blvd Ste 204a
Monterey Park, CA 91754-1063
Mailing address
925 S Atlantic Blvd Ste 204a
Monterey Park, CA 91754-1063
Other names 2
- Angeleno Community Home Health Inc
- Angeleno Community Home Health Inc.
National Provider Directory
National Provider DirectoryLocations
925 S Atlantic Blvd
Ste 204A
Monterey Park, CA 91754
Phone (626) 641-2911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650499200000",
"number": "1013651520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 S ATLANTIC BLVD STE 204A",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917541063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 S ATLANTIC BLVD STE 204A",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917541063",
"telephone_number": "626-641-2911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELENO COMMUNITY HOME HEALTH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-21",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A",
"authorized_official_last_name": "VALLEJO-GONZALEZ",
"authorized_official_first_name": "OLIVIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-420-3470"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Angeleno Community Home Health Inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Angeleno Community Home Health Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.