Healing Angels Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEALING ANGELS HOME HEALTH INC

Practice address

30700 Russell Ranch Rd Ste 254
Westlake Village, CA 91362-9500

Phone

(818) 223-1738

Fax

(818) 484-4100

NPI assigned

Nov 13, 2020

Last updated

Jul 30, 2024By 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

Mahzad Farahani

Title

Ceo/Administrator

Phone

(818) 223-1738

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 1538761689. Details of each certification follow.

• CCN 753155 Home health agency · Active · Details

Home health agency certification: CCN 753155

Legal name

HEALING ANGELS HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 23, 2022

Last certification

Feb 24, 2022

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 13, 2020 in CA

Enrollment address

30700 Russell Ranch Rd
Ste 254
Westlake Village, CA 91362-9507
HHA Branch

Listed as

Healing Angels Home Health IncCCN 753155 · All quality measures

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Mar 23, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• William Douglas King, MD, JD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1427079250

  Home health agency

  Care Compare affiliation
• Eileen McGrath, MD

  • Family Medicine Physician
  • Santa Monica, CA
  • NPI 1558398339

  Home health agency

  Care Compare affiliation
• Oren Raphael, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Santa Monica, CA
  • NPI 1255726485

  Home health agency

  Care Compare affiliation
• Chang Sung Shin, DO

  • Family Medicine Physician
  • Van Nuys, CA
  • NPI 1568922649

  Home health agency

  Care Compare affiliation
• Patra Sorod

  • Geriatric Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1194212142

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1538761689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30700 RUSSELL RANCH RD STE 254",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913629500",
            "telephone_number": "818-223-1738",
            "fax_number": "818-484-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30700 RUSSELL RANCH RD STE 254",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913629500",
            "telephone_number": "818-223-1738",
            "fax_number": "818-484-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ANGELS HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2024-07-30",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "FARAHANI",
        "authorized_official_first_name": "MAHZAD",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "818-223-1738"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hassell Free Billing, LLC (DWC Pros)
• Beth Alison Haynes, PH.D.
• Georgia Grace Hays
• Headwater Marraige and Family Therapy, Inc.
• Headwater Psychotherapy, LLC
• Healing Horizons Inc.
• Health Capacity, PC (Health Capacity)
• Healthy Lifestyle Management, Inc (Ultimate Weight Loss Solutions)
• Matthew L Healy, MA, MFT
• Robin Healy

• Home Health Agency in Westlake Village, CA
• Providers in Westlake Village, 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 Jul 30, 2024; 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.