Angel Palliative Care and Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ANGEL PALLIATIVE CARE AND HOSPICE

Practice address

90 S Spruce Ave Ste O
South San Francisco, CA 94080-4555

Phone

(650) 590-2530

Fax

(650) 590-2531

NPI assigned

Feb 9, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Yelena Asadov

Title

Administrator

Phone

(415) 722-1572

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A01788

Legal name

ANGEL PALLIATIVE CARE AND HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 25, 2020

Last certification

Aug 25, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jan 22, 2019 in CA

Enrollment address

90 S Spruce Ave
Ste O
South San Francisco, CA 94080-4555

Listed as

Angel Palliative Care and HospiceCCN A01788

Ownership

For-Profit

Certified

Aug 25, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Angel Palliative Care and Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Angel Palliative Care and Hospice

  • Community Based Hospice Care Agency
  • South San Francisco, CA
  • NPI 1376211441
  NPD tax ID

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.

Owners & managing parties with NPI records 1

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

• Gerald Francis Murphy, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1376562462

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Gerald Francis Murphy, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1376562462

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1549670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1043775422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 S SPRUCE AVE STE O",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804555",
            "telephone_number": "650-590-2530",
            "fax_number": "650-590-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S SPRUCE AVE STE O",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804555",
            "telephone_number": "650-590-2530",
            "fax_number": "650-590-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL PALLIATIVE CARE AND HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-09",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "ASADOV",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "415-722-1572",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chioma Chidimma Ihecukwu Anago
• Jason L. Anderson, MD
• Jules Anderson
• Karl A. Anderson, MD
• Katrina M Andrey
• Angel Palliative Care and Hospice
• Christine E. Angeles, MD
• Antares Medical Transportation LLC
• Apria Healthcare LLC
• Melissa Argente, RT

• All providers in South San Francisco, CA
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.