Queen of Angels Quality Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

QUEEN OF ANGELS QUALITY CARE LLC

Practice address

620 W Route 66
Suite 206
Glendora, CA 91740-4105

Phone

(626) 963-5900

Fax

(626) 963-5900

NPI assigned

Jul 23, 2008

Organization subpart

No

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

Authorized official

Name

Jimmy Jolo Gonzales

Title

Administrator

Phone

(626) 963-5900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1730344425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W ROUTE 66",
            "address_2": "SUITE 206",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404105",
            "telephone_number": "626-963-5900",
            "fax_number": "626-963-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W ROUTE 66",
            "address_2": "SUITE 206",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404105",
            "telephone_number": "626-963-5900",
            "fax_number": "626-963-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN OF ANGELS QUALITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "JOLO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-963-5900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Glendora, CA
• Providers in Glendora, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.