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GUARDIAN ANGEL HOME CARE AGENCY INC. NPI 1760630255


NPI Information

NPI: 1760630255
Provider Name: GUARDIAN ANGEL HOME CARE AGENCY, INC.
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
7210 N LAKESIDE DR
CHARLOTTE, NC
ZIP 28215
Phone: (704) 948-5654
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GUARDIAN ANGEL HOME CARE AGENCY, INC. is a nursing care in Charlotte, NC. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. GUARDIAN ANGEL HOME CARE AGENCY, INC. NPI is 1760630255. The provider is registered as an organization entity type.

The provider's business location address is:

7210 N LAKESIDE DR
CHARLOTTE, NC
ZIP 28215-012
Phone: (704) 948-5654
Fax: (704) 563-1341

The provider's authorized official is Marian M. Funderburk .
The authorized official title is President & Ceo (director) and has the following contact phone number (704) 948-5654.

The enumeration date for this NPI number is 9/9/2008 and was last updated on 3/28/2017.


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
1253Z00000XIn Home Supportive CareNo
2101Y00000XCounselorNo
3251E00000XHome HealthNo
4251J00000XNursing CareYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.