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Contact Information

ANGEL CONGREGATE LIVING, INC
38536 DESERT VIEW DR
PALMDALE, CA93551
 Phone: 661-418-5830
 Fax: 661-418-5831
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for ANGEL CONGREGATE LIVING, INC

NPI Number 1568869303
LBN Legal business name ANGEL CONGREGATE LIVING, INC
Authorized official HRANT DANAKIAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/21/2014
Last updated 09/15/2022 - About 4 years ago
Identifiers
CA Medicaid 1568869303
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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