Organization Active NPI

Nurses and Angels Home Health Inc.

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1417109299
Registry record updated Oct 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
163WH0200X
Legal business name
NURSES AND ANGELS HOME HEALTH INC.
Practice address
815 W Cesar E Chavez Ave Ste 202
Los Angeles, CA 90012-6601
Phone
(323) 447-0290
NPI assigned
Oct 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2008

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

Authorized official

Name
Mrs. Maria Antonette Villanueva, RN
Title
Secretary
Phone
(323) 982-9936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 163WH0200X Primary

Addresses

Primary practice location

815 W Cesar E Chavez Ave Ste 202
Los Angeles, CA 90012-6601

Mailing address

815 W Cesar E Chavez Ave Ste 202
Los Angeles, CA 90012-6601
Phone (323) 447-0290

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090203000313 CA Part A Provider - Home Health Agency 3971667148 Practice locations: Los Angeles, CA

Home health agency certification: CCN 059317

Legal name
NURSES AND ANGELS HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 29, 2011
Last certification
Nov 13, 2020
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Sep 18, 2008 in CA
Enrollment address
609 N Bunker Hill Ave
Los Angeles, CA 90012-2113

Care Compare: Home health agency

Medicare Care Compare
Listed as
Nurses and Angels Home Health, IncCCN 059317 ยท All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Mar 29, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

609 N Bunker Hill Ave
Los Angeles, CA 90012
Phone (213) 613-0668

815 W Cesar E Chavez Ave
Ste 202
Los Angeles, CA 90012
Phone (213) 613-0668

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.

NameRoleSinceShare
Rex Quizon Individual 5% Or Greater Direct Ownership Interest Dec 8, 2008 50%
Maria Antonette Villanueva Individual 5% Or Greater Direct Ownership Interest Dec 8, 2008 50%
Corporate DirectorDirector of Patient Care Service Dec 8, 2008 100%
W-2 Managing EmployeeAdministrator Dec 8, 2008 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1223769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223769600000",
    "number": "1417109299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W CESAR E CHAVEZ AVE STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900126601",
            "telephone_number": "323-447-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W CESAR E CHAVEZ AVE STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900126601",
            "telephone_number": "323-447-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSES AND ANGELS HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-12",
        "last_updated": "2008-10-12",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ANTONETTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "323-982-9936",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": "163WH0200X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.