Queen of Angels Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

C3482880 Issued in CA

Legal business name

QUEEN OF ANGELS HOSPICE INC

Practice address

9017 Reseda Blvd
Suite 210
Northridge, CA 91324-3922

Phone

(818) 453-3371

Fax

(866) 591-7598

NPI assigned

Jul 5, 2012

Last updated

Oct 6, 2012By 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

Ms. Nina Zoe Bonoan

Title

Ceo

Phone

(818) 453-3371

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349481600000",
    "number": "1497010581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9017 RESEDA BLVD",
            "address_2": "SUITE 210",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243922",
            "telephone_number": "818-453-3371",
            "fax_number": "866-591-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9017 RESEDA BLVD",
            "address_2": "SUITE 210",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243922",
            "telephone_number": "818-453-3371",
            "fax_number": "866-591-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN OF ANGELS HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-10-06",
        "status": "A",
        "authorized_official_last_name": "BONOAN",
        "authorized_official_first_name": "NINA ZOE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-453-3371",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "C3482880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Samuel Michael Dylan Quarry
• Maria Aileen Que, FNP
• Queen of Angels Residential Care Facility
• Queen of Optics
• Maria Theresa Ordonez Queja, BSN
• Sandra Quezada
• Sheryl S Quiamco, NP

• Community Based Hospice Care Agency in Northridge, CA
• Providers in Northridge, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2012; 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.