Angels of Valley Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ANGELS OF VALLEY HOSPICE CARE INC

Practice address

13609 Victory Blvd Ste 127
Van Nuys, CA 91401-6412

Phone

(818) 970-8384

NPI assigned

Nov 13, 2020

Organization subpart

No

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

Authorized official

Name

Mr. John Aquino Jr.

Title

Ceo

Phone

(818) 970-8384

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B31762

Legal name

ANGELS OF VALLEY HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 23, 2022

Last certification

May 23, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 10, 2020 in CA

Enrollment address

13609 Victory Blvd
Ste 127
Van Nuys, CA 91401-6412

Listed as

Angels of Valley Hospice Care, IncCCN B31762

Certified

May 23, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Nicola Faris Azar, M.D.

  • Family Medicine Physician
  • Thousand Oaks, CA
  • NPI 1922259787

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Philip H Lee, D.O.

  • General Practice Physician
  • Burbank, CA
  • NPI 1992981161

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1033711056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13609 VICTORY BLVD STE 127",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016412",
            "telephone_number": "818-970-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13609 VICTORY BLVD STE 127",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016412",
            "telephone_number": "818-970-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS OF VALLEY HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-970-8384",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelino Hospice Care, Inc
• Angels Hands Senior Living Inc
• Angels in Heaven Hospice Inc
• Angels of Peace Hospice Inc
• Angels of Solace Hospice Inc.
• Rhonda Anglin, LCSW
• Arlene Anguiano Salcido
• Edwin Anguiano Torres
• Estephanie Anguiano
• James Anguiano

• Community Based Hospice Care Agency in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.