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GUARDIAN ANGELS INDEPENDENT LIVING SERVICES NPI 1053593574


NPI Information

NPI: 1053593574
Provider Name: GUARDIAN ANGELS INDEPENDENT LIVING SERVICES
Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
1821 WOODDALE CT
SUITE 104
BATON ROUGE, LA
ZIP 70806
Phone: (225) 922-4466
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GUARDIAN ANGELS INDEPENDENT LIVING SERVICES is a respite care in Baton Rouge, LA. GUARDIAN ANGELS INDEPENDENT LIVING SERVICES NPI is 1053593574. The provider is registered as an organization entity type.

The provider's business location address is:

1821 WOODDALE CT
SUITE 104
BATON ROUGE, LA
ZIP 70806-535
Phone: (225) 922-4466
Fax: (225) 922-4420

The provider's authorized official is Johnny Bob Ross .
The authorized official title is Owner and has the following contact phone number (225) 922-4466.

The enumeration date for this NPI number is 11/27/2007 and was last updated on 11/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1385H00000XRespite Care14010LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11019950MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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