Organization Active NPI

Angeles Health Care Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1104612381
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGELES HEALTH CARE INC
Practice address
914 N Glendale Ave Ste 2F
Glendale, CA 91206-2129
Phone
(747) 202-1907
NPI assigned
Apr 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Koorken Setrak Koosherian
Title
Ceo
Phone
(747) 204-2416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

914 N Glendale Ave Ste 2F
Glendale, CA 91206-2129

Mailing address

914 N Glendale Ave Ste 2F
Glendale, CA 91206-2129
Phone (747) 202-1907

National Provider Directory

National Provider Directory

Locations

914 N Glendale Ave
Ste 2F
Glendale, CA 91206
Phone (747) 202-1907

NPI Registry JSON

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1104612381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 N GLENDALE AVE STE 2F",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062129",
            "telephone_number": "747-202-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 N GLENDALE AVE STE 2F",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062129",
            "telephone_number": "747-202-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELES HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "KOOSHERIAN",
        "authorized_official_first_name": "KOORKEN SETRAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-204-2416"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.