Organization Active NPI

Angel Home Health Care LLC

  • Home Health Agency
  • Missouri City, TX
National Provider Identifier
1225212145
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
014830 Issued in TX
Legal business name
ANGEL HOME HEALTH CARE LLC
Practice address
4227 Shady Village CT
Missouri City, TX 77459-1570
Phone
(281) 969-7043
Fax
(281) 969-7045
NPI assigned
Dec 27, 2007
Last updated
Aug 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Mr. Joseph Thomas Cherukara
Title
Owner
Phone
(281) 969-7043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 014830 TX Primary

Addresses

Primary practice location

4227 Shady Village CT
Missouri City, TX 77459-1570

Mailing address

4227 Shady Village CT
Missouri City, TX 77459-1570
Phone (281) 969-7043

Other identifiers 1

IdentifierTypeStateIssuer
209319701MedicaidTX

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angel Home Health Care, L.L.C.CCN 747067
Ownership
Proprietary
Certified
Jan 16, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1079044Angel Home Health Care, LLC4227 Shady Village CT, Missouri City, TX 77459Certificate of waiverJan 23, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1225212145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 SHADY VILLAGE CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774591570",
            "telephone_number": "281-969-7043",
            "fax_number": "281-969-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 SHADY VILLAGE CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774591570",
            "telephone_number": "281-969-7043",
            "fax_number": "281-969-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "CHERUKARA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-969-7043",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "014830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209319701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.