Active NPI
Angelcare Home Health Services LLC
- Home Health Agency
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ANGELCARE HOME HEALTH SERVICES LLC
- Practice address
- 4450 Enterprise St
Suite 101
Fremont, CA 94538-6399 - Phone
- (646) 361-9817
- NPI assigned
- Jan 4, 2016
- Last updated
- Jan 4, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shikha Mittal
- Title
- President
- Phone
- (646) 361-9817
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4450 Enterprise St
Suite 101
Fremont, CA 94538-6399
Mailing address
4450 Enterprise St
Suite 101
Fremont, CA 94538-6399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160408001065 | CA | Part A Provider - Home Health Agency | 3274831169 | Practice locations: Milpitas, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1558727776. Details of each certification follow.
Home health agency certification: CCN 053162
- Legal name
- ANGELCARE HOME HEALTH SERVICES LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 8, 2018
- Last certification
- Mar 24, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Enrollment address
- 1525 McCarthy Blvd
Ste 1128
Milpitas, CA 95035-7451
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Angelcare Home Health Services, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Feb 8, 2018
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
4450 Enterprise St
Ste 101
Fremont, CA 94538
Phone (646) 361-9817
1525 McCarthy Blvd
Ste 1128
Milpitas, CA 95035
Phone (510) 656-1108
Ownership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Edgardo T Pineda | 5% Or Greater Direct Ownership Interest | Mar 14, 2023 | 32% |
| Corporate Officer | Mar 14, 2023 | 32% | |
| Corporate Director | Mar 14, 2023 | 32% | |
| Oscar Angelo B Borbe | 5% Or Greater Direct Ownership Interest | Mar 14, 2023 | 16% |
| Corporate Officer | Mar 14, 2023 | 16% | |
| Corporate Director | Mar 14, 2023 | 16% | |
| Suzanne Villa | W-2 Managing Employee | Oct 16, 2023 | 100% |
| Benjamin L Sangalang | 5% Or Greater Direct Ownership Interest | Mar 14, 2023 | 32% |
| Corporate Officer | Mar 14, 2023 | 32% | |
| Corporate Director | Mar 14, 2023 | 32% | |
| Kurt K Lee | 5% Or Greater Direct Ownership Interest | Mar 14, 2023 | 20% |
| Corporate Officer | Mar 14, 2023 | 20% | |
| Corporate Director | Mar 14, 2023 | 20% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Fremont, CA
- NPI 1104127836
Affiliated clinicians 29
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Vacaville, CA
- NPI 1366545568
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451865600000",
"number": "1558727776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4450 ENTERPRISE ST",
"address_2": "SUITE 101",
"city": "FREMONT",
"state": "CA",
"postal_code": "945386399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4450 ENTERPRISE ST",
"address_2": "SUITE 101",
"city": "FREMONT",
"state": "CA",
"postal_code": "945386399",
"telephone_number": "646-361-9817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELCARE HOME HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-04",
"last_updated": "2016-01-04",
"status": "A",
"authorized_official_last_name": "MITTAL",
"authorized_official_first_name": "SHIKHA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "646-361-9817"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.