NPIMap

Organization Active NPI

Angels on Earth Home Health Inc.

  • Home Health Agency
  • Montclair, CA
National Provider Identifier
1427150978
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGELS ON EARTH HOME HEALTH INC.
Practice address
4959 Palo Verde St
Suite 201-C
Montclair, CA 91763-2331
Phone
(909) 447-4615
Fax
(909) 447-4613
NPI assigned
Sep 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Angelina Chaingan Santana, REGISTERED NURSE
Title
Administrator / Director
Phone
(626) 252-7455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

4959 Palo Verde St
Suite 201-C
Montclair, CA 91763-2331

Mailing address

4959 Palo Verde St
Suite 201-C
Montclair, CA 91763-2331
Phone (909) 447-4615

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041221001067 CA Part A Provider - Home Health Agency 6800854886 Practice locations: Montclair, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427150978. Details of each certification follow.

Home health agency certification: CCN 059032

Legal name
ANGELS ON EARTH HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 5, 2009
Last certification
Apr 12, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 15, 2009 in CA
Enrollment address
4959 Palo Verde St
Ste 201a
Montclair, CA 91763-2339

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angels on Earth Home Health IncCCN 059032 · All quality measures
Ownership
Proprietary
Certified
Mar 5, 2009
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

4959 Palo Verde St
Ste 201A
Montclair, CA 91763
Phone (909) 447-4615

Ownership & related parties

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.

NameRoleSinceShare
Nenen Villarin Individual 5% Or Greater Direct Ownership Interest Jan 24, 2023 50%
Corporate OfficerCfo and Board Member Jan 24, 2023 50%
Corporate DirectorCfo and Board Member Jan 24, 2023 50%
W-2 Managing EmployeeCfo and Board Member Jan 24, 2023 50%
Steven Villarin Individual 5% Or Greater Direct Ownership Interest Jan 21, 2023 50%
Corporate OfficerCeo and Board Member Jan 24, 2023 50%
W-2 Managing EmployeeCeo and Board Member Jan 24, 2023 50%
Sampaguita Santana Individual Corporate Director Jan 11, 2005

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1157328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427150978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST",
            "address_2": "SUITE 201-C",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632331",
            "telephone_number": "909-447-4615",
            "fax_number": "909-447-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST",
            "address_2": "SUITE 201-C",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632331",
            "telephone_number": "909-447-4615",
            "fax_number": "909-447-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS ON EARTH HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_middle_name": "CHAINGAN",
        "authorized_official_title_or_position": "ADMINISTRATOR / DIRECTOR",
        "authorized_official_telephone_number": "16262527455",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

Verify at the official NPI Registry.