Angeleno Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGELENO HOME HEALTH CARE, INC.

Practice address

4730 Woodman Ave Ste 460
Sherman Oaks, CA 91423-2400

Phone

(818) 676-9766

NPI assigned

Nov 21, 2016

Organization subpart

No

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

Authorized official

Name

Gegham Poghosyan

Title

Ceo

Phone

(818) 676-9766

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559109

Legal name

ANGELENO HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 8, 2019

Last certification

Oct 8, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

4730 Woodman Ave
Ste 460
Sherman Oaks, CA 91423-2400

Listed as

Angeleno Home Health Care, IncCCN 559109

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Oct 8, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

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.

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1114460250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 WOODMAN AVE STE 460",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232400",
            "telephone_number": "818-676-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 WOODMAN AVE STE 460",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232400",
            "telephone_number": "818-676-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELENO HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "POGHOSYAN",
        "authorized_official_first_name": "GEGHAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-676-9766"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Grant Andreasen, LMFT
• Andrew Kochan MD a Professional Corporation
• Andrew M Fox MD Inc a Professional Medical Corporation
• Angel Crest Hospice Inc
• Natalie Angel Real
• Dayana Angeles
• Cheryl Marie Angelich, PT, LAC
• Matthew Oran Angell, PTA, CSCS
• Angels Behavioral Therapy Group
• Kyle Angustia, PTA

• Home Health Agency in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.