Organization Active NPI

Angels at Home Care LLC

  • Home Health Agency
  • Topeka, KS
National Provider Identifier
1245617554
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGELS AT HOME CARE LLC
Practice address
3600 SW Burlingame Rd Ste 1B
Topeka, KS 66611-2053
Phone
(785) 271-4376
Fax
(785) 783-8575
NPI assigned
May 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Beverly A Kimzey
Title
Ceo
Phone
(913) 296-7636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3600 SW Burlingame Rd Ste 1B
Topeka, KS 66611-2053

Mailing address

11827 W 112TH St Ste 100
Overland Park, KS 66210-2700
Phone (785) 940-4035

Other names 1

  • Faith Home Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180523000419 KS Part A Provider - Home Health Agency 9638434673 Practice locations: Topeka, KS

Home health agency certification: CCN 178119

Legal name
ANGELS AT HOME CARE LLC
Doing business as
FAITH HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 23, 2019
Last certification
Jan 23, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 5, 2011 in KS
Enrollment address
3600 SW Burlingame Rd
Ste 1B
Topeka, KS 66611-2053

Care Compare: Home health agency

Medicare Care Compare
Listed as
Faith Home HealthCCN 178119
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jan 23, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

3600 SW Burlingame Rd
Ste 1B
Topeka, KS 66611
Phone (785) 940-4035

112 SW 6th Ave
Ste 403
Topeka, KS 66603

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Beverly a Kimzey Individual Corporate OfficerCeo Aug 22, 2024 100%
W-2 Managing EmployeeCeo Aug 22, 2024 100%
Bill Creach Individual 5% Or Greater Indirect Ownership Interest Aug 22, 2024 37.8%
Sharla Creach Individual 5% Or Greater Indirect Ownership Interest Aug 22, 2024 35.9%
Cfh01 Sacred Heart, LLC Organization, Jensen Beach, FL LLC, Holding company 5% Or Greater Indirect Ownership Interest Aug 22, 2024 100%
Charles R Creach Individual Other Aug 22, 2024
Bill Creach Irrevocable Trust for Bill E Creach Organization, Jensen Beach, FL 5% Or Greater Indirect Ownership Interest Aug 22, 2024 5.9%
Frederick R Creach Individual Other Aug 22, 2024
Bill Creach Irrevocable Trust for Frederick R Creach Organization, Jensen Beach, FL 5% Or Greater Indirect Ownership Interest Aug 22, 2024 5.8%
Bill Creach Irrevocable Trust for Charles R Creach Organization, Jensen Beach, FL 5% Or Greater Indirect Ownership Interest Aug 22, 2024 6.5%
Sacred Heart Health, Inc. Organization, Overland Park, KS Corporation 5% Or Greater Direct Ownership Interest Dec 31, 2021 100%
Operational/Managerial Control Dec 31, 2021 100%
Bill E Creach Individual Corporate DirectorChairman of the Board Aug 22, 2024 100%
Other Aug 22, 2024

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 25

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1245617554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11827 W 112TH ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102700",
            "telephone_number": "785-940-4035",
            "fax_number": "785-940-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 SW BURLINGAME RD STE 1B",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666112053",
            "telephone_number": "785-271-4376",
            "fax_number": "785-783-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS AT HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2024-10-11",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "KIMZEY",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-296-7636"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.