Organization Active NPI

Sweet Angels Health Services Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1144976820
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SWEET ANGELS HEALTH SERVICES INC
Practice address
14545 Friar St Ste 185
Van Nuys, CA 91411-2397
Phone
(626) 313-3434
Fax
(626) 313-3439
NPI assigned
Feb 22, 2022
Last updated
Feb 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Gayane Manukyan
Title
Ceo, Cfo, Secretary
Phone
(626) 313-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

14545 Friar St Ste 185
Van Nuys, CA 91411-2397

Mailing address

14545 Friar St Ste 185
Van Nuys, CA 91411-2397
Phone (626) 313-3434

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241029000458 CA Part A Provider - Home Health Agency 1254864366 Practice locations: Van Nuys, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144976820. Details of each certification follow.

Home health agency certification: CCN 757988

Legal name
SWEET ANGELS HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 13, 2025
Last certification
Feb 28, 2025
Organization structure
CorporationProprietary
Incorporated
Jan 10, 2022 in CA
Enrollment address
14545 Friar St
# 185
Van Nuys, CA 91411-2397
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sweet Angels Health Services, Inc.CCN 757988 · All quality measures
Ownership
-
Certified
Mar 13, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

14545 Friar St
#185
Van Nuys, CA 91411
Phone (626) 313-3434

14545 Friar St
Ste 185
Van Nuys, CA 91411
Phone (626) 313-3434

Ownership & related parties

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.

NameRoleSinceShare
Gayane Manukyan Individual 5% Or Greater Direct Ownership InterestCeo Sep 2, 2024 100%
Corporate OfficerCeo Sep 2, 2024 100%
Corporate DirectorCeo Sep 2, 2024 100%
W-2 Managing EmployeeAd; Sep 2, 2024 100%

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1144976820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 185",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "626-313-3434",
            "fax_number": "626-313-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 185",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "626-313-3434",
            "fax_number": "626-313-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET ANGELS HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "MANUKYAN",
        "authorized_official_first_name": "GAYANE",
        "authorized_official_title_or_position": "CEO, CFO, SECRETARY",
        "authorized_official_telephone_number": "626-313-3434"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.