Mendoza Angel's Residential Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MENDOZA ANGEL'S RESIDENTIAL CARE

Practice address

3559 W Michigan Ave
Fresno, CA 93722-6704

Phone

(559) 916-4626

NPI assigned

Aug 4, 2017

Last updated

Aug 17, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Philip Louise Macabio Mendoza

Title

Chair Man

Phone

(559) 761-9624

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1073038634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4479 W PRINCETON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937225187",
            "telephone_number": "559-916-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3559 W MICHIGAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937226704",
            "telephone_number": "559-916-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDOZA ANGEL'S RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "PHILIP LOUISE",
        "authorized_official_middle_name": "MACABIO",
        "authorized_official_title_or_position": "CHAIR MAN",
        "authorized_official_telephone_number": "559-761-9624",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayde Adame Mendibles, LE, LVN
• Maria Magdalena Mendiola, MFTI
• Paul Manuel Mendiola
• Eshini N. Mendis
• Imelda Mendoza Adame
• Alexis Rafael Mendoza Arizaga
• Raymundo Mendoza Gonzalez
• Oscar Eduardo Mendoza Ochoa, PT41753
• Cesar Mendoza Pineda
• Esmeralda Mendoza Valencia, AMFT

• Home Health Agency in Fresno, CA
• Providers in Fresno, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.