ANGELS ASSISTED LIVING NPI 1912357120

NPI Information

  • NPI: 1912357120
  • Provider Name: ANGELS ASSISTED LIVING
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • Address: 8024 REDWOOD AVE
    FONTANA, CA
    ZIP 92336
  • Phone: (909) 371-3966

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NPI Details

ANGELS ASSISTED LIVING is an assisted living and mental illness assisted living facility in Fontana, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. ANGELS ASSISTED LIVING NPI is 1912357120. The provider is registered as an organization entity type.

The provider's business location address is:

8024 REDWOOD AVE
FONTANA, CA
ZIP 92336-640
Phone: (909) 371-3966
Fax: (909) 371-3967

The provider's authorized official is Amelia D Aladin .
The authorized official title is President and has the following contact phone number (909) 532-3623.

The enumeration date for this NPI number is 6/18/2016 and was last updated on 6/18/2016.

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
1311Z00000XCustodial Care FacilityNo
2385H00000XRespite CareNo
33104A0625XAssisted Living FacilityAssisted Living, Mental IllnessYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1366426788OTHERCALIFORNIACOMMUNITY CARE LICENSING

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: 3/30/2025

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