GUARDIAN ANGEL HOME CARE INC. NPI 1497917041

NPI Information

NPI: 1497917041
Provider Name: GUARDIAN ANGEL HOME CARE, INC.
Classification: Registered Nurse - 163WH0200X
Entity Type: Organization

Specialization: Home Health

Address:
10000 N. 31ST AVENUE
SUITE B111
PHOENIX, AZ
ZIP 85051
Phone: (330) 752-0141
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GUARDIAN ANGEL HOME CARE, INC. is a home health registered nurse in Phoenix, AZ. GUARDIAN ANGEL HOME CARE, INC. NPI is 1497917041. The provider is registered as an organization entity type.

The provider's business location address is:

10000 N. 31ST AVENUE
SUITE B111
PHOENIX, AZ
ZIP 85051-907
Phone: (330) 752-0141
Fax: (248) 293-2401

The provider's authorized official is Sam D. Kassab .
The authorized official title is Ceo and has the following contact phone number (248) 293-2400.

The enumeration date for this NPI number is 6/25/2008 and was last updated on 8/17/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251E00000X	Home Health				No
2	163WH0200X	Registered Nurse	Home Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	03-7281	MEDICARE UPIN
2	534606	MEDICAID	ARIZONA
3	037281	MEDICARE OSCAR/CERTIFICATION	ARIZONA

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: 11/14/2023

NPI Synchronization or Removal

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