Jacky & Angie Residential Care
NPI 1174880066 · Adult Care Home Facility · Bellflower, CA
Jacky & Angie Residential Care is a Adult Care Home Facility organization in Bellflower, CA (NPI 1174880066).
Provider details
- NPI number
- 1174880066
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Evangeline Johnson, Adminstratrator(562) 925-7527
- License
- 304006088 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-04-16
- Last updated
- 2012-04-16
Frequently asked questions
- What is Jacky & Angie Residential Care's NPI number?
- Jacky & Angie Residential Care's National Provider Identifier (NPI) is 1174880066, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacky & Angie Residential Care?
- Jacky & Angie Residential Care is classified in the NPPES registry as Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Jacky & Angie Residential Care located?
- Jacky & Angie Residential Care's practice location on file with NPPES is 9332 Greenwell St, Bellflower, CA 90706-3411.
- What is Jacky & Angie Residential Care's phone number?
- The practice phone number listed in the NPPES registry for Jacky & Angie Residential Care is (310) 613-4211.
- Who is the authorized official for Jacky & Angie Residential Care?
- The authorized official listed on Jacky & Angie Residential Care's NPPES record is Evangeline Johnson, Adminstratrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacky & Angie Residential Care's NPI active?
- Yes — Jacky & Angie Residential Care's NPI (1174880066) is active in the NPPES registry as of the last update on 2012-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.