Organization Active NPI

Angelus Health Services, Inc.

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1629031646
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
015945 Issued in TX
Legal business name
ANGELUS HEALTH SERVICES, INC.
Practice address
16100 Cairnway Dr. Ste. 240
Houston, TX 77084-3652
Phone
(281) 856-6305
Fax
(281) 856-6260
NPI assigned
Apr 10, 2006
Last updated
Oct 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Mrs. Rosa I. Marcella, RN. BSN
Title
Don/Adm./Owner
Phone
(281) 513-0269

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 008076 TX
Home Health Agency 251E00000X 015945 TX Primary

Addresses

Primary practice location

16100 Cairnway Dr. Ste. 240
Houston, TX 77084-3652

Mailing address

17635 Glenwolf Dr.
Houston, TX 77084
Phone (281) 856-6305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051105000370 TX Part A Provider - Home Health Agency 5597783753 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629031646. Details of each certification follow.

Home health agency certification: CCN 679196

Legal name
ANGELUS HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 20, 2002
Last certification
Oct 17, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 21, 2002 in TX
Enrollment address
16100 Cairnway Dr
Ste 240
Houston, TX 77084-3562
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angelus Health Services, Inc.CCN 679196 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Dec 20, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

11110 Bellaire Blvd
Ste 108
Houston, TX 77072
Phone (832) 379-1888

16100 Cairnway Dr
Ste 240
Houston, TX 77084
Phone (281) 856-6305

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Clifford P Ferrer Individual 5% Or Greater Direct Ownership Interest Sep 1, 2013 50%
W-2 Managing EmployeeCfo, Alt. Administrator Sep 1, 2013 50%
Jayzyle Que Individual Corporate DirectorAlt Don Jun 28, 2012
Rosa I Marcella Individual 5% Or Greater Direct Ownership Interest Jan 1, 2014 50%
Corporate OfficerAdministrator & Director of Nurs Feb 15, 2014 100%
Operational/Managerial Control Jan 14, 2014

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": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1629031646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17635 GLENWOLF DR.",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77084",
            "telephone_number": "281-856-6305",
            "fax_number": "281-856-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 CAIRNWAY DR. STE. 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843652",
            "telephone_number": "281-856-6305",
            "fax_number": "281-856-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELUS HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "MARCELLA",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "DON/ADM./OWNER",
        "authorized_official_telephone_number": "281-513-0269",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN. BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008076",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "015945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.