Active NPI
Archangle Senior Care LLC
- Home Health Aide
- Corona, CA
National Provider Identifier
1639970445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- ARCHANGLE SENIOR CARE LLC
- Practice address
- 765 N Main St
Corona, CA 92878-1440 - Phone
- (626) 206-8242
- NPI assigned
- Mar 19, 2025
- Last updated
- Mar 20, 2025
- 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
- Hassan Ali
- Title
- Managing Partner
- Phone
- (626) 206-8242
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | NU | ||
| Adult Companion | 372600000X | NU | ||
| Attendant Care Provider | 3747A0650X | NU | ||
| Personal Care Attendant | 3747P1801X | NU | ||
| Home Health Aide | 374U00000X | NU | Primary | |
| Driver | 172A00000X | NU |
Addresses
Primary practice location
765 N Main St
Corona, CA 92878-1440
Mailing address
310 N Indian Hill Blvd Ste 537
Claremont, CA 91711-4611
Phone (626) 206-8242
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742428800000",
"number": "1639970445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 N INDIAN HILL BLVD STE 537",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917114611",
"telephone_number": "626-206-8242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 N MAIN ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928781440",
"telephone_number": "626-206-8242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARCHANGLE SENIOR CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-19",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A",
"authorized_official_last_name": "ALI",
"authorized_official_first_name": "HASSAN",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "626-206-8242"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.