St Angel Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ST ANGEL HOME HEALTH

Practice address

500 E E St Ste 222
Ontario, CA 91764-4276

Phone

(909) 461-4968

NPI assigned

Feb 11, 2022

Organization subpart

No

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

Authorized official

Name

Naire Khachikyan

Title

Ceo/Owner

Phone

(909) 461-4968

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1386398915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E E ST STE 222",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644276",
            "telephone_number": "909-461-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E E ST STE 222",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644276",
            "telephone_number": "909-461-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANGEL HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "KHACHIKYAN",
        "authorized_official_first_name": "NAIRE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "909-461-4968"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Ontario, CA
• Providers in Ontario, 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 Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.