NPIMap

Organization Active NPI

Angelic Hands Inc.

Doing business as Guardian Angel Home Health

  • Home Health Agency
  • Cortez, CO
National Provider Identifier
1619003894
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGELIC HANDS INC.
Doing business as
Guardian Angel Home Health
Practice address
343 E Main St
Cortez, CO 81321-3772
Phone
(970) 565-7134
Fax
(970) 565-9404
NPI assigned
Feb 24, 2007
Last updated
Jun 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Mrs. Diana O'Hara, RN
Title
Owner
Phone
(970) 565-7134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

343 E Main St
Cortez, CO 81321-3772

Mailing address

343 E Main St
Cortez, CO 81321-3772

Other names 1

  • Guardian Angel Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070312000230 CO Part A Provider - Home Health Agency 6507969557 Practice locations: Cortez, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619003894. Details of each certification follow.

Home health agency certification: CCN 067470

Legal name
ANGELIC HANDS INC.
Doing business as
GUARDIAN ANGEL HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 13, 2008
Last certification
Jan 17, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 30, 2007 in NM
Enrollment address
343 E Main St
Cortez, CO 81321-3772
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Guardian Angel Home HealthCCN 067470 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Aug 13, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Angelic Hands Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

343 E Main St
Cortez, CO 81321
Phone (970) 565-7134

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Thomas J O Hara Individual 5% Or Greater Direct Ownership InterestOwner Jan 30, 2007 50%
Corporate OfficerCfo Jan 30, 2007
Corporate DirectorCfo Jan 30, 2007
W-2 Managing EmployeeCfo Jan 30, 2007
Diana C Ohara Individual 5% Or Greater Direct Ownership InterestOwner Jan 30, 2007 50%
Corporate OfficerPresident, Vice President Jan 30, 2007
Corporate DirectorPresident, Vice President Jan 30, 2007
W-2 Managing EmployeeAdministrator Jan 30, 2007

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1619003894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 E MAIN ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E MAIN ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213772",
            "telephone_number": "970-565-7134",
            "fax_number": "970-565-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC HANDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "O'HARA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-565-7134",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Angel Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guardian Angel Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cortez, CO

Sources for this page

Verify at the official NPI Registry.