Angel Wings Home Health Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGEL WINGS HOME HEALTH INC.

Practice address

5958 Vineland Ave Ste G
North Hollywood, CA 91601-1329

Phone

(323) 268-3101

Fax

(323) 986-6199

NPI assigned

Sep 21, 2021

Organization subpart

No

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

Authorized official

Name

Anna Boyrazyan

Title

Ceo

Phone

(323) 268-3101

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757681

Legal name

ANGEL WINGS HOME HEALTH INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 7, 2024

Last certification

Apr 23, 2024

Organization structure

CorporationProprietary

Incorporated

Aug 20, 2021 in CA

Enrollment address

5958 Vineland Ave
Ste G
North Hollywood, CA 91601-1329

Listed as

Angel Wings Home Health IncCCN 757681 · All quality measures

Ownership

-

Certified

May 7, 2024

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1376214361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5958 VINELAND AVE STE G",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916011329",
            "telephone_number": "323-268-3101",
            "fax_number": "323-986-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5958 VINELAND AVE STE G",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916011329",
            "telephone_number": "323-268-3101",
            "fax_number": "323-986-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL WINGS HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "BOYRAZYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-268-3101"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvia Andresen, MA - CCC, SLP
• Andrew Babayan, OD, Apc.
• Andrew M. Steiner, M.D. Medical Corporation
• Angelica Ang, DDS
• Angel Home Health Services, Inc
• Angel Wings Hospice Inc
• Ashley Angel
• Angeles Dental Corporation
• Godofredo Castelo Angeles Jr., DDS
• May-Leonila Ravina Angeles, DDS

• Home Health Agency in North Hollywood, CA
• Providers in North Hollywood, 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 Sep 21, 2021; 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.