# ANGELS HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174873756
- **Authorized official:** KELLY A SMITH LVN BS (ADMINISTRATOR)
- **Authorized official phone:** (958) 691-5001

## Contact information

- **Practice address:** 29970 TECHNOLOGY DR, SUITE 208, MURRIETA, CA 92563-2645
- **Practice address phone:** (951) 691-5001
- **Practice address fax:** (951) 691-5003
- **Mailing address:** 29970 TECHNOLOGY DR, SUITE 208, MURRIETA, CA 92563-2645
- **Mailing address phone:** (951) 691-5001
- **Mailing address fax:** (951) 691-5003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | CA | Yes |

## Other

- **Enumeration date:** 09/11/2012
- **Last updated:** 06/09/2020