Angels Home Health Agency Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGELS HOME HEALTH AGENCY INC

Practice address

3353 Bradshaw Rd Ste 211
Sacramento, CA 95827-2610

Phone

(916) 610-1004

Fax

(916) 610-1104

NPI assigned

Jun 17, 2021

Organization subpart

No

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

Authorized official

Name

Ofelya Hovhannisyan

Title

Ceo

Phone

(916) 610-1004

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757547

Legal name

ANGELS HOME HEALTH AGENCY INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 23, 2024

Last certification

Aug 14, 2024

Organization structure

CorporationProprietary

Incorporated

in CA

Enrollment address

3353 Bradshaw Rd
Ste 211
Sacramento, CA 95827-2610

Listed as

Angels Home Health Agency IncCCN 757547

Overall star rating

2 of 5

Ownership

-

Certified

Aug 23, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Affiliated clinicians 1

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

• Kashif Naim Abdullah, M.D. , M.P.H

  • General Practice Physician
  • San Jose, CA
  • NPI 1164651212

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1801465554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 BRADSHAW RD STE 211",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272610",
            "telephone_number": "916-610-1004",
            "fax_number": "916-610-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 BRADSHAW RD STE 211",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272610",
            "telephone_number": "916-610-1004",
            "fax_number": "916-610-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "HOVHANNISYAN",
        "authorized_official_first_name": "OFELYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-610-1004"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizbeth Angeles
• Angelic Care Hospice, Inc.
• Angelique E. Richardson, MD, PHD, a Medical Corporation
• Carolyn Lu Angelo, CRNA
• Tequila Teshelle Angelo
• Angels Touch Medical Center PC
• Matthew David Anger, MD
• Jeremy Anghel
• Hannah Michele Angileri, PA-C
• Kathleen Angkustsiri, MD

• Home Health Agency in Sacramento, CA
• Providers in Sacramento, 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 Jun 17, 2021; 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.