MEDICARE: ANGELIC HOME HEALTH CARE LLC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	550004204	OTHER	CA	STATE OF CALIFORNIA DEPARTMENT OF PUBLIC HEALTH

General Provider Information

NPI Number	:	1255727178
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELIC HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	22141 VENTURA BLVD STE 209
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-5724
Country	:	US
Telephone Number	:	818-854-6066
Fax Number	:	877-823-9305

Provider Business Practice Location Address
First Line	:	22141 VENTURA BLVD STE 209
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-5724
Country	:	US
Telephone Number	:	818-854-6066
Fax Number	:	877-826-9305

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	ARASH YAZDANI
Credential	:
Telephone Number	:	818-854-6066

Provider Enumeration Date	:	04/07/2015
Last Update Date	:	01/04/2022

Similar Medicare Providers

1245928845 — ALYSSA MICHELLE HOLDRIDGE LMFT
Practice Location Address:

5724 MANTON AVE
WOODLAND HILLS, CA
91367-3031

Practice Phone: 818-481-6737
Practice Fax:

1306130299 — MS. CAMILLE S DELANEY M.ED
Practice Location Address:

19030 CHESTNUT AVE
COUNTRY CLUB HILLS, IL
60478-5724

Practice Phone: 708-203-7992
Practice Fax:

1649874694 — DR. ARGYRO BOGIANTZIS PHARMD
Practice Location Address:

7701 BROADVIEW RD
SEVEN HILLS, OH
44131-5724

Practice Phone: 216-238-9720
Practice Fax:

1861083800 — MEIJER STORES LIMITED PARTNERSHIP
Practice Location Address:

7701 BROADVIEW RD
SEVEN HILLS, OH
44131-5724

Practice Phone: 216-238-9720
Practice Fax: 216-238-9734

1548844905 — DR. MICHAEL RYAN DRAKE PHARMD
Practice Location Address:

7701 BROADVIEW RD
SEVEN HILLS, OH
44131-5724

Practice Phone: 216-238-9720
Practice Fax:

1144985979 — CHRISTOPHER BLACK PHARMD, RPH
Practice Location Address:

7701 BROADVIEW RD
SEVEN HILLS, OH
44131-5724

Practice Phone: 216-238-9720
Practice Fax:

Directions to “ANGELIC HOME HEALTH CARE LLC ” 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.