Angel Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGEL HOME HEALTH LLC

Practice address

3498 Clayton Rd Ste 101
Concord, CA 94519-2461

Phone

(925) 689-2395

Fax

(925) 887-6558

NPI assigned

Mar 9, 2021

Organization subpart

No

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

Authorized official

Name

Ding Wang

Title

President/ Owner

Phone

(925) 890-8953

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757423

Legal name

ANGEL HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 5, 2023

Last certification

Sep 27, 2023

Organization structure

LLCProprietary

Incorporated

Mar 1, 2021 in CA

Enrollment address

3498 Clayton Rd
Ste 101
Concord, CA 94519-2461

Listed as

Angel Home Health LLCCCN 757423 · All quality measures

Overall star rating

4 of 5

Ownership

-

Certified

Oct 5, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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 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 2

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
• Frank CHI Bing Hsueh, M.D.

  • Internal Medicine Physician
  • San Ramon, CA
  • NPI 1144224742

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1811582075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4086 TULARE DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945211704",
            "telephone_number": "925-890-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3498 CLAYTON RD STE 101",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192461",
            "telephone_number": "925-689-2395",
            "fax_number": "925-887-6558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4086 Tulare Dr",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945211704",
            "country_code": "US",
            "telephone_number": "925-890-8953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANGEL HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "DING",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "925-890-8953"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Theora Andrews
• Theresa Andrews
• Melanie Marie Anello, N.P.-C
• Anew Path Home Health Inc.
• Monique Shaunta Angara
• Angel Star Care LLC
• Angel Star Care LLC
• Lupita Angel
• Marivic Roque Angeles, DDS
• Brittany Marie Angell

• Home Health Agency in Concord, CA
• Providers in Concord, 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 16, 2024; 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.