Angelic Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGELIC HOME HEALTH CARE LLC

Practice address

22141 Ventura Blvd Ste 209
Woodland Hills, CA 91364-5724

Phone

(818) 854-6066

Fax

(877) 826-9305

NPI assigned

Apr 7, 2015

Organization subpart

No

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

Authorized official

Name

Arash YazdaniNPI 1316501844

Title

Owner/Ceo

Phone

(818) 854-6066

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559622

Legal name

ANGELIC HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 16, 2021

Last certification

Nov 16, 2021

Organization structure

LLCProprietary

Incorporated

Jan 29, 2015 in CA

Enrollment address

22141 Ventura Blvd
Ste 209
Woodland Hills, CA 91364-5724
HHA Branch

Listed as

Angelic Home Health Care LLCCCN 559622

Overall star rating

2 of 5

Ownership

-

Certified

Nov 16, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arash Yazdani, DDS

  • General Practice Dentistry
  • Woodland Hills, CA
  • NPI 1316501844
  NPD Authorized official

Affiliated clinicians 1

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

• Tourage Soleimani, MD

  • Cardiovascular Disease Physician
  • Los Angeles, CA
  • NPI 1174573588

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1255727178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22141 VENTURA BLVD STE 209",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645724",
            "telephone_number": "818-854-6066",
            "fax_number": "877-823-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22141 VENTURA BLVD STE 209",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645724",
            "telephone_number": "818-854-6066",
            "fax_number": "877-826-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "YAZDANI",
        "authorized_official_first_name": "ARASH",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "818-854-6066"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550004204",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "550004204",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gypsy S Andrews
• Patrick Andriasian
• Kailynn Angel
• Gloria C Angeles, CRNA
• Liza Mari Angeles
• Angelica Chaghouri DDS a Professional Dental Corporation
• Angelotti Chiropractic, Inc
• Carlos Angulo
• Jessica Sarah Anishban, LMFT
• Anjana Sura, MD Advanced Wound Solutions Inc.

• Home Health Agency in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.

Verify at the official NPI Registry.