NPIMap

Organization Active NPI

Angels Care Home Health Service, LLC

  • Home Health Agency
  • Reynoldsburg, OH
National Provider Identifier
1053580894
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGELS CARE HOME HEALTH SERVICE, LLC
Practice address
7606 Slate Ridge Blvd
Reynoldsburg, OH 43068-8157
Phone
(614) 367-7724
Fax
(614) 367-7734
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Authorized official

Name
Nyakeh Francis YovonieNPI 1982802286
Title
Owner
Phone
(614) 206-4495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7606 Slate Ridge Blvd
Reynoldsburg, OH 43068-8157

Mailing address

7606 Slate Ridge Blvd
Reynoldsburg, OH 43068-8157
Phone (614) 367-7724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080317000091 OH Part A Provider - Home Health Agency 0042395949 Practice locations: Reynoldsburg, OH

Home health agency certification: CCN 369051

Legal name
ANGELS CARE HOME HEALTH SERVICE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 23, 2013
Last certification
Sep 23, 2013
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 30, 2007 in OH
Enrollment address
7606 Slate Ridge Blvd
Reynoldsburg, OH 43068-8157

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angels Care Home Health Service LLCCCN 369051
Ownership
Proprietary
Certified
Sep 23, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

7606 Slate Ridge Blvd
Reynoldsburg, OH 43068
Phone (614) 367-7724

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Nyakeh Yovonie Individual 5% Or Greater Direct Ownership Interest Aug 26, 2007
Corporate Director Aug 26, 2007
W-2 Managing Employee Aug 26, 2007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1053580894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7606 SLATE RIDGE BLVD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688157",
            "telephone_number": "614-367-7724",
            "fax_number": "614-367-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7606 SLATE RIDGE BLVD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688157",
            "telephone_number": "614-367-7724",
            "fax_number": "614-367-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS CARE HOME HEALTH SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "YOVONIE",
        "authorized_official_first_name": "NYAKEH",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-206-4495"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.