Organization Active NPI

St. Raphael Archangel Home Health Care Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1942058706
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ST. RAPHAEL ARCHANGEL HOME HEALTH CARE INC
Practice address
7136 Haskell Ave Ste 309a
Van Nuys, CA 91406-4112
Phone
(818) 922-2228
Fax
(818) 279-2867
NPI assigned
May 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Ms. Martha Patricia Chavez Ruiz
Title
Ceo
Phone
(818) 922-2228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7136 Haskell Ave Ste 309a
Van Nuys, CA 91406-4112

Mailing address

7136 Haskell Ave Ste 309a
Van Nuys, CA 91406-4112
Phone (818) 922-2228

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2324742St Raphael Archangel Home Health Care Inc7136 Haskell Ave, #309a, Van Nuys, CA 91406Certificate of waiverMay 29, 2027

National Provider Directory

National Provider Directory

Locations

7136 Haskell Ave
Ste 309A
Van Nuys, CA 91406
Phone (818) 922-2228

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1942058706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7136 HASKELL AVE STE 309A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064112",
            "telephone_number": "818-922-2228",
            "fax_number": "818-279-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 HASKELL AVE STE 309A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064112",
            "telephone_number": "818-922-2228",
            "fax_number": "818-279-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. RAPHAEL ARCHANGEL HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ RUIZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-922-2228",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.