Active NPI
St. Raphael Archangel Home Health Care Inc
- Home Health Agency
- Van Nuys, CA
National Provider Identifier
1942058706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 05D2324742 | St Raphael Archangel Home Health Care Inc | Certificate of waiver | May 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- St. Luke'S Hospice Agency
- St. Mary'S Hospice and Palliative Care, Inc.
- St. Paul Medical Clinic a Professional Corporation
- St. Peter'S Hospice Care, Inc.
- St. Peter'S Place
- St. Rita'S Congregate, Inc.
- St. Theresa Home Health, Inc.
- St.Michael Home Health Care Inc.
- St.Vincent Hospice & Care, Inc
- Debra Stafford
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.