Angels of Care Home Health, Incorporated

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGELS OF CARE HOME HEALTH, INCORPORATED

Doing business as

Angels of Care Home Health, Incorporated

Practice address

330 Municipal Dr Ste 104C
Richardson, TX 75080-3541

Phone

(214) 484-1362

Fax

(214) 432-6161

NPI assigned

Nov 18, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Renji Philipose

Title

Administrator

Phone

(972) 998-8690

Specialties & licenses 3

Addresses

Other names 1

• Angels of Care Home Health, Incorporated Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747640

Legal name

ANGELS OF CARE HOME HEALTH, INCORPORATED

Doing business as

ANGELS OF CARE HOME HEALTH, INCORPORATED

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 16, 2011

Last certification

Jun 12, 2019

Ownership / control type

Non-Profit

Organization structure

CorporationProprietary

Incorporated

Sep 10, 2009 in TX

Enrollment address

330 Municipal Dr
Ste 104C
Richardson, TX 75080-3541

Listed as

Angels of Care Home Health IncorporatedCCN 747640

Ownership

Non-Profit

Certified

Dec 16, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1033446760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MUNICIPAL DR STE 104C",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803541",
            "telephone_number": "214-484-1362",
            "fax_number": "214-432-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MUNICIPAL DR STE 104C",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803541",
            "telephone_number": "214-484-1362",
            "fax_number": "214-432-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS OF CARE HOME HEALTH, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "PHILIPOSE",
        "authorized_official_first_name": "RENJI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-998-8690",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels of Care Home Health, Incorporated",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Angels of Care Home Health, Incorporated",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Richardson, TX
• Providers in Richardson, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.