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Contact Information

HEAVENLY ANGELS HOME CARE
4709 MOUNT ABERNATHY AVE
SAN DIEGO, CA92117-3340
 Phone: 858-444-7904
 Fax: 858-278-2093
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Case Management

251B00000X
 

In Home Supportive Care

253Z00000X
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for HEAVENLY ANGELS HOME CARE

NPI Number 1679875710
LBN Legal business name HEAVENLY ANGELS HOME CARE
Authorized official JENNIFER DE LOS REYES - (OWNER-PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/22/2010
Last updated 11/22/2010 - About 16 years ago
Identifiers
CA License # B2010022157
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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