Active NPI
Angels Care Home Health Agency
- Home Health Agency
- Fresno, CA
National Provider Identifier
1235897877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ANGELS CARE HOME HEALTH AGENCY
- Practice address
- 125 E Barstow Ave Ste 113
Fresno, CA 93710-5023 - Phone
- (559) 355-6932
- Fax
- (559) 449-9644
- NPI assigned
- Dec 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ripsime Lily Gouff
- Title
- Secretary
- Phone
- (559) 355-6932
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Community Based Hospice Care Agency | 251G00000X |
Addresses
Primary practice location
125 E Barstow Ave Ste 113
Fresno, CA 93710-5023
Mailing address
125 E Barstow Ave Ste 113
Fresno, CA 93710-5023
Phone (559) 293-4975
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | angelscarehomehealth.inc@gmail.com | ||
| CONNECT URL | |||
| Other URL | https://mail.google.com/mail/u/1/#inbox |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220325000064 | CA | Part A Provider - Home Health Agency | 2062807225 | Practice locations: Fresno, CA |
Home health agency certification: CCN 757609
- Legal name
- ANGELS CARE HOME HEALTH AGENCY
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 5, 2024
- Last certification
- Apr 5, 2024
- Organization structure
- Corporation
- Incorporated
- Jun 5, 2021 in CA
- Enrollment address
- 125 E Barstow Ave
Ste 113
Fresno, CA 93710-5023
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Angels Care Home Health Agency
- Ownership
- -
- Certified
- Apr 5, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
125 E Barstow Ave
Ste 113
Fresno, CA 93710
Phone (559) 293-4975
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ambartsum Harry Semirjyan | 5% Or Greater Direct Ownership Interest | Jun 5, 2021 | 50% |
| Corporate Officer | Jun 5, 2021 | 50% | |
| Corporate Director | Jun 5, 2021 | 50% | |
| Operational/Managerial Control | Jun 5, 2021 | 50% | |
| Ripsime Gouff | 5% Or Greater Direct Ownership Interest | Jun 5, 2021 | 50% |
| Corporate Officer | Jun 5, 2021 | 50% | |
| Corporate Director | Jun 5, 2021 | 50% | |
| W-2 Managing Employee | Jun 5, 2021 | 50% | |
| Operational/Managerial Control | Jun 5, 2021 | 50% |
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": "1638316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718323200000",
"number": "1235897877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E BARSTOW AVE STE 113",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105023",
"telephone_number": "559-293-4975",
"fax_number": "559-293-4976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E BARSTOW AVE STE 113",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105023",
"telephone_number": "559-355-6932",
"fax_number": "559-449-9644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELS CARE HOME HEALTH AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-01",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A",
"authorized_official_last_name": "GOUFF",
"authorized_official_first_name": "RIPSIME",
"authorized_official_middle_name": "LILY",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "559-355-6932",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "angelscarehomehealth.inc@gmail.com",
"affiliation": "N",
"address_1": "125 E Barstow Ave Ste 113",
"city": "Fresno",
"state": "CA",
"country_code": "US",
"postal_code": "937105023",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "email",
"affiliation": "N",
"address_1": "125 E Barstow Ave Ste 113",
"city": "Fresno",
"state": "CA",
"country_code": "US",
"postal_code": "937105023",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://mail.google.com/mail/u/1/#inbox",
"affiliation": "N",
"address_1": "125 E Barstow Ave Ste 113",
"city": "Fresno",
"state": "CA",
"country_code": "US",
"postal_code": "937105023",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.