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GUARDIAN ANGEL HOME HEALTH INC NPI 1134367717


NPI Information

NPI: 1134367717
Provider Name: GUARDIAN ANGEL HOME HEALTH, INC

Doing Business As: GUARDIAN ANGEL HOME HEALTH AND HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 32D1090950

Address:
2800 HUTTON AVE
FARMINGTON, NM
ZIP 87402
Phone: (505) 564-9002
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GUARDIAN ANGEL HOME HEALTH, INC is a hospice care community based in Farmington, NM. GUARDIAN ANGEL HOME HEALTH, INC NPI is 1134367717. The provider is registered as an organization entity type.
The provider Is Doing Business As Guardian Angel Home Health And Hospice.

The provider's business location address is:

2800 HUTTON AVE
FARMINGTON, NM
ZIP 87402-560
Phone: (505) 564-9002
Fax: (505) 564-9022

The provider's authorized official is Dixie Leigh Thompson .
The authorized official title is President and has the following contact phone number (505) 564-9002.

The CLIA number assigned to this NPI record is 32D1090950 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2009 and was last updated on 2/21/2014.


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
1251G00000XHospice Care, Community Based3291NEW MEXICOYes

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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