Provider Demographics
NPI:1427150978
Name:ANGELS ON EARTH HOME HEALTH INC.
Entity type:Organization
Organization Name:ANGELS ON EARTH HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR / DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELINA
Authorized Official - Middle Name:CHAINGAN
Authorized Official - Last Name:SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:1626-252-7455
Mailing Address - Street 1:4959 PALO VERDE ST
Mailing Address - Street 2:SUITE 201-C
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-2331
Mailing Address - Country:US
Mailing Address - Phone:909-447-4615
Mailing Address - Fax:909-447-4613
Practice Address - Street 1:4959 PALO VERDE ST
Practice Address - Street 2:SUITE 201-C
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-2331
Practice Address - Country:US
Practice Address - Phone:909-447-4615
Practice Address - Fax:909-447-4613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health