ACTIVE ANGEL CAREGIVER AGENCY (NPI# 1053714972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053714972 |
| Entity Type | Organization |
| Organization Name | ACTIVE ANGEL CAREGIVER AGENCY |
| Other Organization Name | N/A |
| Practice Address |
13605 Heather Way Hawthorne CA 90250-6474 |
| Practice Telephone | 3107259073 |
| Mailing Telephone | 3107259073 |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |
| Authorized Official Name | MR. PARMODH PARDEEP DUTT (CEO) |
| Authorized Official Telephone | 3107259073 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315D00000X | Hospice, Inpatient | 464040257 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| n/a | Doing Business As Name - Organization |
| Street Address |
13605 HEATHER WAY |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-6474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381236 | Malibu Hospice Inc | Hospice, Inpatient | 4301 Alonzo Ave, Encino, CA 91316-4308 | 2020-09-18 |
| 1881209039 | Hospice of Love and Care Group Inc | Hospice, Inpatient | 18344 Oxnard St Ste 208, Tarzana, CA 91356-6777 | 2020-09-14 |
| 1154957835 | Armani Oganyan | Hospice, Inpatient | 10523 Burbank Blvd Ste 104, North Hollywood, CA 91601-2235 | 2020-03-13 |
| 1235789462 | Sierra Care At The Lake,llc | Hospice, Inpatient | 33425 Globe Dr, Springville, CA 93265 | 2019-09-19 |
| 1851893291 | Heritage Crossing Fresno Inc. | Hospice, Inpatient | 2792 E Alluvial Ave, Clovis, CA 93611-9104 | 2018-03-01 |
| 1447761820 | Trusted Hospice Care | Hospice, Inpatient | 17915 Ventura Blvd Ste 233, Encino, CA 91316-4815 | 2017-10-12 |
| 1548631906 | United Hospice, Inc. | Hospice, Inpatient | 14638 Rodeo Dr, Victorville, CA 92395-4133 | 2015-10-12 |
| 1396131041 | Hdmc Holdings, LLC | Hospice, Inpatient | 6601 White Feather Rd Ste A-5, Joshua Tree, CA 92252-6607 | 2015-04-09 |
| 1073908315 | Empacare Homecare | Hospice, Inpatient | 7231 Boulder Ave., Ste 197, Highland, CA 92346 | 2015-04-03 |
| 1649688821 | Blue Spirit Hospice, Inc. | Hospice, Inpatient | 1110 N Western Ave Ste 208, Los Angeles, CA 90029-1087 | 2014-07-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.