Active NPI
Angelical Home Health, Inc.
- Home Health Agency
- La Joya, TX
On this page
- Key facts
- Authorized official
- Affiliated clinicians5
- Care Compare: Home health agency
- Laboratory certificates & supplier records
- Medicare participation
- Home health agency certification: CCN 677881
- All disclosed owners & managing parties2
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other identifiers1
- NPI Registry JSON
- Other providers in La Joya, TX
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 010100
- Legal business name
- ANGELICAL HOME HEALTH, INC.
- Practice address
- 504 Lake Point St
La Joya, TX 78560-4021 - Phone
- (956) 581-1251
- Fax
- (956) 581-4859
- NPI assigned
- May 9, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ms. Blanca Lamar Gonzalez, R.N./CFO/OWNER
- Title
- Cfo/Owner
- Phone
- (956) 581-1251
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1275854093
Home health agency
-
- Family Medicine Physician
- Rio Grande City, TX
- NPI 1144480815
Home health agency
-
- Family Medicine Physician
- Rio Grande City, TX
- NPI 1275846156
Home health agency
-
- Internal Medicine Physician
- Rio Grande City, TX
- NPI 1134147549
Home health agency
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Angelical Home Health, Inc.
- Ownership
- Proprietary
- Certified
- Mar 30, 2006
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1042585 | Angelical Home Health, Inc | Certificate of waiver | Jul 4, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Home health agency certification: CCN 677881
Medicare enrollment files- Legal name
- ANGELICAL HOME HEALTH, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 30, 2006
- Last certification
- Dec 7, 2017
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Aug 4, 2005 in TX
- Enrollment address
- 504 Lake Point St
La Joya, TX 78560-4021
All disclosed owners & managing parties 2
Medicare enrollment filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jayne Melendez | W-2 Managing Employee | Jan 28, 2015 | |
| Blanca Gonzalez | 5% Or Greater Direct Ownership Interest | Apr 27, 2007 | |
| Corporate Director | Apr 27, 2007 | ||
| W-2 Managing Employee | Apr 27, 2007 |
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080110000464 | TX | Part a Provider - Home Health Agency | 9830102086 | Practice locations: La Joya, TX |
National Provider Directory
National Provider DirectoryLocations
730 E Expressway 83
Ste 9
La Joya, TX 78560
208 Diamond St
Unit 7
La Joya, TX 78560
Phone (956) 581-1251
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 010100 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
504 Lake Point St
La Joya, TX 78560-4021
Mailing address
504 Lake Point St
La Joya, TX 78560-4021
Phone (956) 581-1251
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 677881 | Other | TX | MEDICARE PROVIDER NUMBER |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 3, 2021.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620000000000",
"number": "1922057652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 LAKE POINT ST",
"city": "LA JOYA",
"state": "TX",
"postal_code": "785604021",
"telephone_number": "956-581-1251",
"fax_number": "956-581-4859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 LAKE POINT ST",
"city": "LA JOYA",
"state": "TX",
"postal_code": "785604021",
"telephone_number": "956-581-1251",
"fax_number": "956-581-4859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELICAL HOME HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-09",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "BLANCA",
"authorized_official_middle_name": "LAMAR",
"authorized_official_title_or_position": "CFO/OWNER",
"authorized_official_telephone_number": "956-581-1251",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "R.N./CFO/OWNER"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "010100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "677881",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Joya, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.