Organization Active NPI

Only Angels Home Healthcare, LLC

  • Home Health Agency
  • Wichita, KS
National Provider Identifier
1053901876
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ONLY ANGELS HOME HEALTHCARE, LLC
Practice address
1624 S Rutan Ave
Wichita, KS 67218-3918
Phone
(316) 519-3360
NPI assigned
Jan 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Melissa Tran
Title
Owner
Phone
(316) 519-3360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1624 S Rutan Ave
Wichita, KS 67218-3918

Mailing address

1624 S Rutan Ave
Wichita, KS 67218-3918

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220214001922 KS Part A Provider - Home Health Agency 6305239401 Practice locations: Wichita, KS

Home health agency certification: CCN 178132

Legal name
ONLY ANGELS HOME HEALTHCARE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 8, 2022
Last certification
Dec 1, 2022
Organization structure
LLCProprietary
Incorporated
Mar 23, 2020 in KS
Enrollment address
1624 S Rutan Ave
Wichita, KS 67218-3918

Care Compare: Home health agency

Medicare Care Compare
Listed as
Only Angels Home Healthcare LLCCCN 178132
Overall star rating
2 of 5
Ownership
-
Certified
Dec 8, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2244595Only Angels Home Healthcare, LLC1624 S Rutan Ave Ste a, Wichita, KS 67218Certificate of waiverDec 2, 2027

National Provider Directory

National Provider Directory

Locations

1624 S Rutan Ave
Ste A
Wichita, KS 67218

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Mariquita Biancardi Individual Corporate OfficerSecretary Mar 23, 2020
Corporate DirectorSecretary Mar 23, 2020
Melissa Tran Individual 5% Or Greater Direct Ownership Interest Mar 23, 2020 100%
W-2 Managing EmployeeOwner/Administrator Mar 23, 2020
Michael Khuu Individual Corporate OfficerVP Mar 23, 2020
Corporate DirectorVP Mar 23, 2020
Linda T Khuu Individual Corporate OfficerPresident Mar 23, 2020
Corporate DirectorPresident Mar 23, 2020
Tony Khuu Individual Corporate OfficerTreasurer Mar 23, 2020
Corporate DirectorTreasurer Mar 23, 2020

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1053901876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 S RUTAN AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 S RUTAN AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183918",
            "telephone_number": "316-519-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONLY ANGELS HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-519-3360"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.