Organization Active NPI

Angel'S Hand Hospice Care Inc

  • Community Based Hospice Care Agency
  • Burbank, CA
National Provider Identifier
1174940787
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ANGEL'S HAND HOSPICE CARE INC
Practice address
2501 W Burbank Blvd Ste 310
Burbank, CA 91505-2347
Phone
(818) 782-2516
Fax
(909) 254-5679
NPI assigned
Mar 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Ms. Ani Badalyan
Title
Ceo
Phone
(909) 327-2332

Specialties & licenses 1

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

Addresses

Primary practice location

2501 W Burbank Blvd Ste 310
Burbank, CA 91505-2347

Mailing address

792 W Arrow Hwy Ste a
Upland, CA 91786-7724
Phone (818) 782-2516

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140815000945 CA Part A Provider - Hospice 2365669371 Practice locations: Burbank, CA

Hospice certification: CCN 751731

Legal name
ANGELS HAND HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 22, 2015
Last certification
Nov 14, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Sep 27, 2013 in CA
Enrollment address
2501 W Burbank Blvd
Ste 310
Burbank, CA 91505-2347

Care Compare: Hospice

Medicare Care Compare
Listed as
Angel'S Hand Hospice Care, IncCCN 751731
Ownership
For-Profit
Certified
Dec 22, 2015
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2501 W Burbank Blvd
Ste 310
Burbank, CA 91505
Phone (818) 782-2516

792 W Arrow Hwy
Ste A
Upland, CA 91786
Phone (909) 327-2332

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
Sandeep Kapoor Individual Corporate DirectorMedical Director Nov 18, 2019
Ani Badalyan Individual 5% Or Greater Direct Ownership InterestOwner Sep 27, 2013 100%
Corporate OfficerCeo/Cfo/Board Member/Sole Owner Sep 27, 2013 100%
Corporate DirectorCeo/Cfo/Board Member/Sole Owner Sep 27, 2013 100%
W-2 Managing EmployeeAd;Ceo/Cfo/Board Member/Sole Owner Sep 27, 2013 100%
Lyubov Rafailova Individual W-2 Managing EmployeeDPCS Nov 18, 2019

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 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": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1174940787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 W ARROW HWY STE A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917867724",
            "telephone_number": "818-782-2516",
            "fax_number": "909-254-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W BURBANK BLVD STE 310",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052347",
            "telephone_number": "818-782-2516",
            "fax_number": "909-254-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL'S HAND HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "BADALYAN",
        "authorized_official_first_name": "ANI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-327-2332",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.