Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacky & Angie Residential Care

Organization Adult Care Home Facility · NPI 1174880066

Jacky & Angie Residential Care is an Adult Care Home Facility in Bellflower, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

9332 Greenwell St
Bellflower, CA 90706-3411
Phone: (310) 613-4211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence 304006088 (CA)

Record details

NPI number1174880066
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evangeline Johnson — Adminstratrator · (562) 925-7527
NPI enumeratedApril 16, 2012
Last updated in NPPESApril 16, 2012
Mailing address9332 Greenwell Street, Bellflower, CA 90706

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