Angelic Hands Inc.
Organization Active NPI Home Health Agency · Cortez, CO
NPI 1619003894 · NPPES record last updated Jun 20, 2023
Key facts
- NPI
- 1619003894
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- ANGELIC HANDS INC.
- Practice address
- 343 E Main St
Cortez, CO 81321-3772 - Phone
- (970) 565-7134
- Fax
- (970) 565-9404
- NPI assigned
- Feb 24, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Diana O'Hara, RN
- Title
- Owner
- Phone
- (970) 565-7134
Corporate family (same tax ID) 2
Affiliated clinicians 6
-
Andrew Henrichs, PA-C, ATC
-
Erick Ireland, PA-C
-
Jameson Laub, DO
-
Caitlin Mooney, PA-C
Medicare Care Compare: Home health agency
- Listed as
- Guardian Angel Home Health
- Overall star rating
- ★★☆☆☆ 1.5 of 5
- Ownership
- Proprietary
- Certified
- Aug 13, 2008
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
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
- Corporation · Proprietary
- Incorporated
- Jan 30, 2007 in NM
- Enrollment address
- 343 E Main St
Cortez, CO 81321-3772
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Thomas J O Hara |
5% Or Greater Direct Ownership Interest |
Jan 30, 2007 | 50% |
| Corporate Officer |
Jan 30, 2007 | ||
| Corporate Director |
Jan 30, 2007 | ||
| W-2 Managing Employee |
Jan 30, 2007 | ||
| Diana C Ohara |
5% Or Greater Direct Ownership Interest |
Jan 30, 2007 | 50% |
| Corporate Officer |
Jan 30, 2007 | ||
| Corporate Director |
Jan 30, 2007 | ||
| W-2 Managing Employee |
Jan 30, 2007 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070312000230 | CO | Part a Provider - Home Health Agency | 6507969557 | Practice locations: Cortez, CO |
National Provider Directory
- Tax ID family
- Angelic Hands Inc
Locations
343 E Main St
Cortez, CO 81321
Phone (970) 565-7134
925 S Broadway
Ste 286
Cortez, CO 81321
Phone (970) 565-7134
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
343 E Main St
Cortez, CO 81321-3772
Mailing address
343 E Main St
Cortez, CO 81321-3772
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000142692 | Medicaid | CO |
Other names
- Guardian Angel Home Health
Other providers in Cortez, CO
- Alpha Integrated Healthcare LLC
- Alpine Eye Clinic Optical, LLC
- Alpine Eye Clinic PC
- Alta Anesthesia P. C.
- American Homepatient, Inc.
- Angelic Hands Inc.
- Angelic Hands LLC
- Angelic Hands, Inc
- Animas Valley Audiology Associates LLC
- April L. Randle MD Inc
All providers in Cortez, CO · Home Health Agency in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.