ANGELIC HOME HEALTH CARE LLC
NPI 1255727178
Home Health in Woodland Hills, CA

Q: What is Angelic Home Health Care LLC's NPI number?

The NPI number for Angelic Home Health Care LLC is 1255727178. It was assigned to this organization in the NPPES registry on April 7, 2015.

Q: What is Angelic Home Health Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since April 07, 2015CLIA 05D2148814 · Waiver

22141 VENTURA BLVD STE 209, WOODLAND HILLS, CA 91364(818) 854-6066(877) 826-9305 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 4, 2022, Jan 8, 2019 (2 updates tracked since 2019).

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About Angelic Home Health Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELIC HOME HEALTH CARE LLC (NPI 1255727178) is a healthcare organization registered as a home health in Woodland Hills, California and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through May 17, 2028 and lists Arash Yazdani, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1255727178

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameANGELIC HOME HEALTH CARE LLC

Location Address22141 VENTURA BLVD STE 209Woodland Hills, CA 91364-5724

Mailing Address22141 Ventura Blvd Ste 209Woodland Hills, CA 91364-5724 · (818) 854-6066 · Fax (877) 823-9305

Phone(818) 854-6066

Fax(877) 826-9305

Organization SubpartNo

Authorized OfficialArash YazdaniOwner/ceo · (818) 854-6066

Enumeration DateApril 7, 2015

Last NPPES UpdateJanuary 4, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2022

✔ NPI 1255727178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

22141 VENTURA BLVD STE 209, Woodland Hills, CA 91364

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Other Identifiers 2

Other550004204CA · State Of California Department Of Public Health

Medicaid550004204CA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelic Home Health Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20150824002460Part A · Home Health AgencyDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2148814

Angelic Home Health Care LLC · Woodland Hills, CA

Active · expires May 17, 2028

CLIA Number05D2148814

Laboratory TypeHome Health Agency

Certificate Effective DateMay 18, 2026

Certificate Expiration DateMay 17, 2028

Laboratory DirectorMark N. Samonte

Laboratory Phone(818) 854-6066

Laboratory LocationAngelic Home Health Care LLC22141 Ventura Blvd #209, Woodland Hills, CA 91364

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Angelic Home Health Care LLC (CMS certification number 559622), from CMS Care Compare.

Angelic Home Health Care LLC

Home health agency · Woodland Hills, CA

CMS Certification Number559622

Medicare-Certified SinceNovember 16, 2021

Phone(818) 960-5522

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care

Cases too small to report

Potentially preventable hospital readmissions after discharge

Cases too small to report

Medicare spending per episode of care, relative to the national average

1.00 = national average per episode of care · based on 52 episodes

0.96

Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelic Home Health Care LLC's NPI number?

The NPI number for Angelic Home Health Care LLC is 1255727178. It was assigned to this organization in the NPPES registry on April 7, 2015.

Where is Angelic Home Health Care LLC located?

Angelic Home Health Care LLC is located at 22141 Ventura Blvd Ste 209, Woodland Hills, CA 91364. The listed phone number is (818) 854-6066.

What is Angelic Home Health Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Is Angelic Home Health Care LLC enrolled in Medicare?

Yes. Angelic Home Health Care LLC is registered in the Medicare PECOS enrollment system.

When is Angelic Home Health Care LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Home Health Agency) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Angelic Home Health Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2148814) is associated with this NPI, valid through May 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Angelic Home Health Care LLC a Medicare-certified home health agency?

Yes. Angelic Home Health Care LLC is a Medicare-certified home health agency, certified since November 16, 2021.

When was this NPI record last updated?

The NPPES record for Angelic Home Health Care LLC was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.