Active NPI
Only Angels Home Healthcare, LLC
- Home Health Agency
- Wichita, KS
National Provider Identifier
1053901876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Overall star rating
- Ownership
- -
- Certified
- Dec 8, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2244595 | Only Angels Home Healthcare, LLC | Certificate of waiver | Dec 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mariquita Biancardi | Corporate Officer | Mar 23, 2020 | |
| Corporate Director | Mar 23, 2020 | ||
| Melissa Tran | 5% Or Greater Direct Ownership Interest | Mar 23, 2020 | 100% |
| W-2 Managing Employee | Mar 23, 2020 | ||
| Michael Khuu | Corporate Officer | Mar 23, 2020 | |
| Corporate Director | Mar 23, 2020 | ||
| Linda T Khuu | Corporate Officer | Mar 23, 2020 | |
| Corporate Director | Mar 23, 2020 | ||
| Tony Khuu | Corporate Officer | Mar 23, 2020 | |
| Corporate Director | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.