Provider Demographics
NPI:1306264205
Name:ANGEL HOSPICE CARE, INC.
Entity type:Organization
Organization Name:ANGEL HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:
Authorized Official - Last Name:AZCONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-727-2115
Mailing Address - Street 1:142 SHOPPERS LN
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-3535
Mailing Address - Country:US
Mailing Address - Phone:626-727-2115
Mailing Address - Fax:
Practice Address - Street 1:142 SHOPPERS LN
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-3535
Practice Address - Country:US
Practice Address - Phone:626-727-2115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-29
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based