Archangel Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550000586 Issued in CA

Legal business name

ARCHANGEL HOME HEALTH, INC.

Practice address

16446 Woodruff Ave Ste a
Suite a
Bellflower, CA 90706-4975

Phone

(562) 861-7047

Fax

(562) 861-7069

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Kyung (Daniel) Sik Suh

Title

Ceo

Phone

(562) 861-7047

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059006

Legal name

ARCHANGEL HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 26, 2008

Last certification

Oct 4, 2017

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 5, 2006 in CA

Enrollment address

16446 Woodruff Ave
Ste a
Bellflower, CA 90706-4975
HHA Branch

Listed as

Archangel Home Health, IncCCN 059006

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Sep 26, 2008

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

Locations

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Esther Suh, REGISTERED NURSE

  • Registered Nurse
  • Downey, CA
  • NPI 1710387055
  NPD

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Anil Gupta, MD

  • Internal Medicine Physician
  • West Covina, CA
  • NPI 1538182407

  Home health agency

  Care Compare affiliation
• Jimmy C. Huang, D.O.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1780649442

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1760699144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16446 WOODRUFF AVE STE A",
            "address_2": "SUITE A",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064975",
            "telephone_number": "562-861-7047",
            "fax_number": "562-861-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16446 WOODRUFF AVE STE A",
            "address_2": "SUITE A",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064975",
            "telephone_number": "562-861-7047",
            "fax_number": "562-861-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHANGEL HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "SUH",
        "authorized_official_first_name": "KYUNG (DANIEL)",
        "authorized_official_middle_name": "SIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-861-7047"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPH",
            "identifier": "550000586",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROV#",
            "identifier": "1760699144",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lizette Aquino Ramirez
• Zenaida C Arada, CRNA
• Catherine Arakaki, OD
• Sharon S Araki, NP
• Samantha Felicia Arce, PEER SPECIALIST
• Connie Arias
• Erika Arias
• Kenneth R Arkin, LCSW
• Anne Armanyous, DPT
• Lillian Armenta

• Home Health Agency in Bellflower, CA
• Providers in Bellflower, 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 Feb 17, 2023; 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.