Angel House LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGEL HOUSE LLC

Practice address

1265 W Shaw Ave Ste 100
Fresno, CA 93711-3717

Phone

(183) 376-2643

NPI assigned

Dec 9, 2021

Last updated

Dec 9, 2021By 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

Alexis Hornsby

Title

Vice President/Directing Manager

Phone

(833) 762-6435

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1326707043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 W SHAW AVE STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113717",
            "telephone_number": "183-376-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 W SHAW AVE STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113717",
            "telephone_number": "183-376-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "HORNSBY",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "VICE PRESIDENT/DIRECTING MANAGER",
        "authorized_official_telephone_number": "833-762-6435"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE ORGANIZATION LICENSE",
            "identifier": "104700047",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ali Aneizi
• Teresa Anes
• Anesthesia Consultants of Fresno
• Michelle Ang
• Sarthak Angal
• Angel Love Hospice Services LLC
• Camilla Angel
• Dominic Matthew Angel
• Louis Ralph Angel, CADC-II
• Raul Espinosa Angel

• 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 Dec 9, 2021; 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.