ANGENIDA HOSPICE LLC NPI 1669008934

NPI Information

NPI: 1669008934
Provider Name: ANGENIDA HOSPICE LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2203465

Address:
14081 YORBA ST STE 201
TUSTIN, CA
ZIP 92780
Phone: (714) 442-3853
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ANGENIDA HOSPICE LLC is a hospice care community based in Tustin, CA. ANGENIDA HOSPICE LLC NPI is 1669008934. The provider is registered as an organization entity type.

The provider's business location address is:

14081 YORBA ST STE 201
TUSTIN, CA
ZIP 92780-011
Phone: (714) 442-3853
Fax: (714) 442-4853

The provider's authorized official is Fernan David .
The authorized official title is President and has the following contact phone number (714) 442-3853.

The CLIA number assigned to this NPI record is 05D2203465 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2020 and was last updated on 3/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251J00000X	Nursing Care				No
2	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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