City of Angels Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CITY OF ANGELS HOME HEALTH, INC.

Doing business as

City of Angels Home Health, Inc.

Practice address

22141 Ventura Blvd
Suite #207
Woodland HLS, CA 91364

Phone

(818) 914-5861

Fax

(818) 337-7406

NPI assigned

Jul 21, 2021

Last updated

Jan 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anahita Yazdani, RN

Title

Dopcs

Phone

(818) 914-5861

Specialties & licenses 1

Addresses

Other names 1

• City of Angels Home Health, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649843210. Details of each certification follow.

• CCN 559537 Home health agency · Active · Details

Home health agency certification: CCN 559537

Legal name

CITY OF ANGELS HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 29, 2021

Last certification

Sep 29, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 12, 2007 in CA

Enrollment address

22141 Ventura Blvd
Ste 207
Woodland Hills, CA 91364-5733

Listed as

City of Angels Home Health, IncCCN 559537 · All quality measures

Ownership

Proprietary

Certified

Sep 29, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1649843210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22141 VENTURA BLVD",
            "address_2": "SUITE #207",
            "city": "WOODLAND HLS",
            "state": "CA",
            "postal_code": "91364",
            "telephone_number": "818-914-5861",
            "fax_number": "818-337-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22141 VENTURA BLVD",
            "address_2": "SUITE #207",
            "city": "WOODLAND HLS",
            "state": "CA",
            "postal_code": "91364",
            "telephone_number": "818-914-5861",
            "fax_number": "818-337-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ANGELS HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "YAZDANI",
        "authorized_official_first_name": "ANAHITA",
        "authorized_official_title_or_position": "DOPCS",
        "authorized_official_telephone_number": "818-914-5861",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Angels Home Health, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City of Angels Home Health, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Woodland HLS, CA
• Providers in Woodland HLS, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.

Verify at the official NPI Registry.