Angel S Visit Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGEL S VISIT HOME HEALTH

Practice address

21006 Devonshire St Ste 205
Chatsworth, CA 91311-2386

Phone

(747) 224-0856

Fax

(747) 224-0913

NPI assigned

Jan 28, 2021

Last updated

Oct 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shushanik Hunanyan

Title

Ceo

Phone

(747) 224-0856

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497346969. Details of each certification follow.

• CCN 753126 Home health agency · Active · Details

Home health agency certification: CCN 753126

Legal name

ANGELS VISIT HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 22, 2022

Last certification

Apr 22, 2022

Organization structure

CorporationProprietary

Incorporated

Jan 6, 2021 in CA

Enrollment address

21006 Devonshire St
Ste 205
Chatsworth, CA 91311-2386

Listed as

Angel's Visit Home HealthCCN 753126 · All quality measures

Overall star rating

3 of 5

Ownership

-

Certified

Apr 22, 2022

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1497346969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21006 DEVONSHIRE ST STE 205",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112386",
            "telephone_number": "747-224-0856",
            "fax_number": "747-224-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21006 DEVONSHIRE ST STE 205",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112386",
            "telephone_number": "747-224-0856",
            "fax_number": "747-224-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL S VISIT HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "HUNANYAN",
        "authorized_official_first_name": "SHUSHANIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-224-0856"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Chatsworth, CA
• Providers in Chatsworth, 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 Oct 12, 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.