Active NPI
Angels on Earth Healthcare Services, Inc
- Home Health Agency
- Pasadena, CA
National Provider Identifier
1568074441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ANGELS ON EARTH HEALTHCARE SERVICES, INC
- Practice address
- 1386 E Walnut St Ste 201
Pasadena, CA 91106-1510 - Phone
- (626) 696-3659
- Fax
- (818) 824-5197
- NPI assigned
- Aug 20, 2020
- 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
- Henry Savoy
- Title
- Business/Compliance Manager
- Phone
- (818) 435-7000
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| Voluntary or Charitable Agency | 251V00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
1386 E Walnut St Ste 201
Pasadena, CA 91106-1510
Mailing address
1386 E Walnut St Ste 201
Pasadena, CA 91106-1510
Phone (626) 696-3659
Other names 1
- Angels On Earth Healthcare Services, Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210503001025 | CA | Part A Provider - Home Health Agency | 2163831215 | Practice locations: Pasadena, CA |
Home health agency certification: CCN 559645
- Legal name
- ANGELS ON EARTH HEALTHCARE SERVICES, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 25, 2021
- Last certification
- Sep 25, 2021
- Organization structure
- Corporation
- Incorporated
- Aug 17, 2020 in CA
- Enrollment address
- 1386 E Walnut St
Ste 201
Pasadena, CA 91106-1510
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Angels on Earth Health Care Services, Inc.
- Overall star rating
- Ownership
- -
- Certified
- Sep 25, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
1386 E Walnut St
Ste 201
Pasadena, CA 91106
Phone (626) 696-3659
22025 Ventura Blvd
Ste 203
Woodland Hills, CA 91364
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Karen Azizyan | 5% Or Greater Direct Ownership Interest | Mar 15, 2021 | 100% |
| Corporate Officer | Mar 15, 2021 | 100% | |
| Corporate Director | Mar 15, 2021 | 100% | |
| W-2 Managing Employee | Mar 15, 2021 | 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": "1597881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694736000000",
"number": "1568074441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1386 E WALNUT ST STE 201",
"city": "PASADENA",
"state": "CA",
"postal_code": "911061510",
"telephone_number": "626-696-3659",
"fax_number": "818-824-5197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1386 E WALNUT ST STE 201",
"city": "PASADENA",
"state": "CA",
"postal_code": "911061510",
"telephone_number": "626-696-3659",
"fax_number": "818-824-5197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELS ON EARTH HEALTHCARE SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-20",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A",
"authorized_official_last_name": "SAVOY",
"authorized_official_first_name": "HENRY",
"authorized_official_title_or_position": "BUSINESS/COMPLIANCE MANAGER",
"authorized_official_telephone_number": "818-435-7000"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Angels On Earth Healthcare Services, Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.