Organization Active NPI

Angels on Earth Healthcare Services, Inc

  • Home Health Agency
  • Pasadena, CA
National Provider Identifier
1568074441
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Sep 15, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Aug 17, 2020 in CA
Enrollment address
1386 E Walnut St
Ste 201
Pasadena, CA 91106-1510
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angels on Earth Health Care Services, Inc.CCN 559645
Overall star rating
4 of 5
Ownership
-
Certified
Sep 25, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Karen Azizyan Individual 5% Or Greater Direct Ownership InterestOwner Mar 15, 2021 100%
Corporate OfficerCeo Mar 15, 2021 100%
Corporate DirectorOwner Mar 15, 2021 100%
W-2 Managing EmployeeOwner 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

Verify at the official NPI Registry.