Organization Active NPI

Asant Home Health Care Inc

  • Home Health Agency
  • Canoga Park, CA
National Provider Identifier
1992331417
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ASANT HOME HEALTH CARE INC
Practice address
7108 De Soto Ave Ste 200a
Canoga Park, CA 91303-3230
Phone
(818) 921-2466
Fax
(818) 646-1963
NPI assigned
Mar 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Mr. Jeremy Scott Helmers, LVNNPI 1205583358
Title
Ceo/ Admin
Phone
(818) 646-1962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7108 De Soto Ave Ste 200a
Canoga Park, CA 91303-3230

Mailing address

7108 De Soto Ave Ste 200a
Canoga Park, CA 91303-3230
Phone (818) 921-2466

Other names 1

  • Angel Heart Home Health Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201109002663 CA Part A Provider - Home Health Agency 0042620759 Practice locations: Canoga Park, CA

Home health agency certification: CCN 559615

Legal name
ASANT HOME HEALTH CARE INC
Doing business as
ANGEL HEART HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 13, 2021
Last certification
Jun 2, 2021
Organization structure
CorporationProprietary
Incorporated
Nov 14, 2019 in CA
Enrollment address
7108 De Soto Ave
Ste 200a
Canoga Park, CA 91303-3230

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angel Heart Home Health CareCCN 559615
Overall star rating
4.5 of 5
Ownership
-
Certified
Jul 13, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

7108 De Soto Ave
Ste 200A
Canoga Park, CA 91303
Phone (818) 921-2466

1000 E Broadway
Ste C
Glendale, CA 91205
Phone (818) 646-1962

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David Lindsey Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 25%
Corporate DirectorDirector Mar 1, 2023
Rajah Cruz Individual W-2 Managing EmployeeDPCS/Don/Administrator Designee Jun 1, 2023
MMMN Group Inc Organization, Canoga Park, CA Created for acquisition, Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 14, 2019 100%
William McGill Individual 5% Or Greater Indirect Ownership InterestCfo, Secretary Mar 1, 2023 37.5%
Corporate OfficerCfo Mar 1, 2023
Corporate DirectorDirector Mar 1, 2023
Jeremy Helmers Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 37.5%
Corporate OfficerCeo Mar 1, 2023
Corporate DirectorDirector Mar 1, 2023
W-2 Managing EmployeeAdministrator Mar 1, 2023

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 5

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

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1992331417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 DE SOTO AVE STE 200A",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033230",
            "telephone_number": "818-921-2466",
            "fax_number": "818-646-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 DE SOTO AVE STE 200A",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033230",
            "telephone_number": "818-921-2466",
            "fax_number": "818-646-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASANT HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "HELMERS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CEO/ ADMIN",
        "authorized_official_telephone_number": "818-646-1962",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel Heart Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.