Angel'S Home Icf, Inc.

LBN: Angel'S Home Icf, Inc.
Angel'S Home Icf, Inc. is an health care organization with primary practice located at 10712 Waterbury Dr , Stockton CA 95209-4212. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Angel'S Home Icf, Inc. can be contacted via phone (510) 289-3848, or through Angel, Larry R via phone (510) 289-3848.

Contact Information

Primary practice address
10712 Waterbury Dr Stockton CA 95209-4212
Phone: (510) 289-3848
Fax: (209) 477-1449
Website:
Map and Directions
Authorized official contact:
Name: Angel, Larry R Physician's Assistant Certified (PA-C)
Phone: (510) 289-3848

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X California

Profile Details

NPI number 1205224334
LBN Legal business name Angel'S Home Icf, Inc.
DBA Doing business as
Authorized official Angel, Larry R Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2014
Last updated Dec 23rd, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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