# ANGEL PRESTIGE RESIDENTIAL CARE, LLC

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

## Provider details

- **NPI number:** 1205106770
- **Authorized official:** HERMANDO ESGUERRA (ADMINISTRATOR)
- **Authorized official phone:** (408) 568-0615

## Contact information

- **Practice address:** 3305 MARCEL COURT, SAN JOSE, CA 95135
- **Practice address phone:** (408) 440-0920
- **Mailing address:** 3305 MARCEL COURT, SAN JOSE, CA 95135
- **Mailing address phone:** (408) 440-0920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | RN41086 | NV | Yes |
| 311ZA0620X | Adult Care Home Facility | 3220AGC-13 | NV | — |
| 311ZA0620X | Adult Care Home Facility | 4185AGC-6 | NV | — |

## Other

- **Enumeration date:** 12/30/2011
- **Last updated:** 01/23/2012