Organization Active NPI

Angels Protection Hospice, Inc

  • Community Based Hospice Care Agency
  • Glendale, CA
National Provider Identifier
1124655162
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ANGELS PROTECTION HOSPICE, INC
Practice address
1616 Victory Blvd Ste 103
Glendale, CA 91201-2956
Phone
(747) 215-6404
NPI assigned
Mar 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Authorized official

Name
Andranik Sargsyan
Title
Ceo
Phone
(747) 215-6404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1616 Victory Blvd Ste 103
Glendale, CA 91201-2956

Mailing address

1616 Victory Blvd Ste 103
Glendale, CA 91201-2956

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200513000131 CA Part A Provider - Hospice 5799116455 Practice locations: Glendale, CA

Hospice certification: CCN A11791

Legal name
ANGELS PROTECTION HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 26, 2021
Last certification
Mar 26, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
1616 Victory Blvd
Ste 103
Glendale, CA 91201-2956

Care Compare: Hospice

Medicare Care Compare
Listed as
Angels Protection Hospice, IncCCN A11791
Ownership
For-Profit
Certified
Mar 26, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1616 Victory Blvd
Ste 103
Glendale, CA 91201
Phone (714) 215-6404

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Jose J Guerra Individual Contracted Managing EmployeeMD; Sep 23, 2025
Richuel M Flores Individual 5% Or Greater Direct Ownership Interest Dec 9, 2021 100%
Corporate OfficerCeo, Board Member Dec 9, 2021
Corporate DirectorCeo, Board Member Dec 9, 2021
W-2 Managing EmployeeCeo, Board Member Dec 9, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1124655162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 VICTORY BLVD STE 103",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 VICTORY BLVD STE 103",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012956",
            "telephone_number": "747-215-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS PROTECTION HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "SARGSYAN",
        "authorized_official_first_name": "ANDRANIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-215-6404"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.