MEDICARE: ANGEL WINGS HOME HEALTH SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1679150619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL WINGS HOME HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	6410 VAN NUYS BLVD STE F1
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91401-1449
Country	:	US
Telephone Number	:	424-226-9996
Fax Number	:	424-389-7573

Provider Business Practice Location Address
First Line	:	6410 VAN NUYS BLVD STE F1
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91401-1449
Country	:	US
Telephone Number	:	424-226-9996
Fax Number	:	424-389-7573

Authorized Official
Title or Position	:	CEO
Name	:	ASHOT N MELIKYAN
Credential	:
Telephone Number	:	424-226-9996

Provider Enumeration Date	:	03/25/2021
Last Update Date	:	07/22/2021

Similar Medicare Providers

1699818278 — VALLEY MISSION MEDICAL
Practice Location Address:

6410 VAN NUYS BLVD , STE B
VAN NUYS, CA
91401-1449

Practice Phone: 818-908-2300
Practice Fax:

1902579402 — FAST RESPONSE HOME HEALTH INC
Practice Location Address:

6410 VAN NUYS BLVD , UNIT E101
VAN NUYS, CA
91401-1449

Practice Phone: 747-226-2248
Practice Fax: 951-242-9406

1962194894 — THE ROSE COLORED COUCH LLC
Practice Location Address:

1449 N VAN DORN ST # B
ALEXANDRIA, VA
22304-1920

Practice Phone: 607-761-1958
Practice Fax:

1699612630 — NANCY JOSEPH
Practice Location Address:

161 VAN BUREN ST APT 2
TAUNTON, MA
02780-1449

Practice Phone: 774-251-7291
Practice Fax:

1285562306 — SAGEWOOD SENIOR LIVING
Practice Location Address:

6420 NAGLE AVE
VAN NUYS, CA
91401-1801

Practice Phone: 559-930-3600
Practice Fax:

1255196127 — MS. PAULINA GUERRERO-HEREDIA BA
Practice Location Address:

6545 FULTON AVE APT 206
VAN NUYS, CA
91401-1354

Practice Phone: 747-253-1973
Practice Fax:

Directions to “ANGEL WINGS HOME HEALTH SERVICES, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.