Organization Active NPI

DDD World of Angels Home Health Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1144800566
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DDD WORLD OF ANGELS HOME HEALTH INC
Practice address
14545 Friar St Ste 354
Van Nuys, CA 91411-2397
Phone
(818) 233-3923
NPI assigned
Apr 9, 2021
Last updated
Jan 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Heghine Karapetyan
Title
Ceo
Phone
(818) 233-3923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14545 Friar St Ste 354
Van Nuys, CA 91411-2397

Mailing address

14545 Friar St Ste 354
Van Nuys, CA 91411-2397
Phone (818) 233-3923

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221101002043 CA Part A Provider - Home Health Agency 2365841467 Practice locations: Van Nuys, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144800566. Details of each certification follow.

Home health agency certification: CCN 757452

Legal name
DDD WORLD OF ANGELS HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 28, 2023
Last certification
Sep 15, 2023
Organization structure
CorporationProprietary
Enrollment address
14545 Friar St
Ste 354
Van Nuys, CA 91411-2397

Care Compare: Home health agency

Medicare Care Compare
Listed as
DDD World of Angels Home Health IncCCN 757452 · All quality measures
Overall star rating
4 of 5
Ownership
-
Certified
Sep 28, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

14545 Friar St
Ste 354
Van Nuys, CA 91411
Phone (714) 707-7278

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Lynn Tran Individual 5% Or Greater Direct Ownership Interest Jun 20, 2024 49%
Corporate OfficerCeo/Cfo/Sec/BM Jun 20, 2024 49%
Corporate Director Jun 20, 2024 49%
W-2 Managing EmployeeCeo/Cfo/Sec/BM Jun 20, 2024
DDD World of Angels Home Health Inc Organization, Anaheim, CA Corporation Operational/Managerial Control Jun 20, 2024 51%
Heghine Karapetyan Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/Sec/BM Jun 20, 2024 51%
Corporate OfficerCeo/Cfo/Sec/BM Mar 30, 2021 51%
Corporate DirectorCeo/Cfo/Sec/BM Mar 30, 2021 51%
W-2 Managing EmployeeCeo/Cfo/Sec/BM Mar 30, 2021 51%
Operational/Managerial ControlCeo/Cfo/Sec/BM Mar 30, 2021 51%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1144800566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 354",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-233-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 354",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-233-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDD WORLD OF ANGELS HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "KARAPETYAN",
        "authorized_official_first_name": "HEGHINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-233-3923"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.