Organization Active NPI

The Angel House

  • Respite Care
  • Hawthorne, CA
National Provider Identifier
1831955814
Registry record updated Oct 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
THE ANGEL HOUSE
Practice address
5103 W 123Rd PL
Hawthorne, CA 90250-3525
Phone
(562) 896-3909
NPI assigned
Feb 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2024

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

Authorized official

Name
Mrs. Michelle Marshall-Caiquo
Title
Owner/Administrator
Phone
(562) 405-7316

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X
Respite Care 385H00000X Primary

Addresses

Primary practice location

5103 W 123Rd PL
Hawthorne, CA 90250-3525

Mailing address

552 E Carson St Ste 104
Carson, CA 90745-2897
Phone (562) 896-3909

National Provider Directory

National Provider Directory

Locations

552 E Carson St
Ste 104
Carson, CA 90745
Phone (323) 867-6379

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729296000000",
    "number": "1831955814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 E CARSON ST STE 104",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452897",
            "telephone_number": "562-896-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 W 123RD PL",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503525",
            "telephone_number": "562-896-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ANGEL HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A",
        "authorized_official_last_name": "MARSHALL-CAIQUO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "562-405-7316",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2024; 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.