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ANGELA SHATTLES-BREEDLOVE
NPI 1902679509
Assisted Living Facility in Victorville, CA

Active since November 06, 2023
13001 WALNUT WAY, VICTORVILLE, CA 92392(769) 953-5286 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angela Shattles-breedlove NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA SHATTLES-BREEDLOVE (NPI 1902679509) is an individual assisted living facility provider in Victorville, California, licensed in California (365530141) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1902679509
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameANGELA SHATTLES-BREEDLOVE
Location Address13001 WALNUT WAYVictorville, CA 92392-5542
Mailing Address13001 Walnut WayVictorville, CA 92392-5542 · (760) 953-5286
Phone(769) 953-5286
Sole ProprietorYes
Enumeration DateNovember 6, 2023
NPPES CertifiedNovember 5, 2023
✔ NPI 1902679509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in CA · 365530141
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
13001 WALNUT WAY, Victorville, CA 92392
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Shattles-breedlove's NPI number?

The NPI number for Angela Shattles-breedlove is 1902679509. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Where is Angela Shattles-breedlove located?

Angela Shattles-breedlove practices at 13001 Walnut Way, Victorville, CA 92392. The listed phone number is (769) 953-5286.

What is Angela Shattles-breedlove's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Angela Shattles-breedlove was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.