Active NPI
Angeline Home Care
- Adult Care Home Facility
- Fresno, CA
National Provider Identifier
1356581318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5821164 | Other | CA | ANTHEM BLUE CROSS |
National Provider Directory
National Provider DirectoryNPI 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
- Angel'S Best Hospice Care, Inc
- John Paul Magat Angeles, MD
- Katrina Go Angeles, D.D.S.
- Angelicare in Home Companion Care Inc.
- Dawn Kathleen Angelich, LMFT
- Angeline Home Care Services, Inc.
- Eleonora M Angelini, MSN-FNP-BC; PA-C
- Angels Care Home Health Agency
- Angels Family Dental
- Angels Pediatrics, Inc.
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.