Organization Active NPI

Angeline Home Care

  • Adult Care Home Facility
  • Fresno, CA
National Provider Identifier
1356581318
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
ANGELINE HOME CARE
Practice address
2834 E Michigan Ave
Fresno, CA 93703-1136
Phone
(559) 289-2992
Fax
(559) 227-6534
NPI assigned
Mar 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Hector Flores Gonzales I, CNA
Title
Owner
Phone
(559) 289-2992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X CA Primary

Addresses

Primary practice location

2834 E Michigan Ave
Fresno, CA 93703-1136

Mailing address

2834 E Michigan Ave
Fresno, CA 93703-1136
Phone (559) 289-2992

Other identifiers 1

IdentifierTypeStateIssuer
5821164OtherCAANTHEM BLUE CROSS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356581318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2834 E MICHIGAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031136",
            "telephone_number": "559-289-2992",
            "fax_number": "559-227-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2834 E MICHIGAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031136",
            "telephone_number": "559-289-2992",
            "fax_number": "559-227-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELINE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "FLORES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-289-2992",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "5821164",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.

Verify at the official NPI Registry.