Angel of Life LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

ANGEL OF LIFE LLC

Practice address

2057 W 64TH St
Los Angeles, CA 90047-1702

Phone

(323) 365-9117

Fax

(323) 570-0386

NPI assigned

Jan 18, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Letricia L. Brown

Title

Owner, Administrator

Phone

(323) 365-9117

Specialties & licenses 1

Addresses

Other names 1

• Dhelmar Care Home Doing business as

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1497093801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 431571",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900439571",
            "telephone_number": "323-365-9117",
            "fax_number": "323-570-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 W 64TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900471702",
            "telephone_number": "323-365-9117",
            "fax_number": "323-570-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL OF LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LETRICIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR",
        "authorized_official_telephone_number": "323-365-9117",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dhelmar Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Angel Pathway Hospice, Inc.
• Angel Squad Inc.
• Angel Touch Home Health Care, Corp.
• Angel Wings Home Health Agency
• Ashley Angel

• Nursing Facility/Intermediate Care Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.