GUARDIAN ANGEL HOME CARE INC. NPI 1780929398

NPI Information

GUARDIAN ANGEL HOME CARE, INC. is a hospice care community based in San Diego, CA. GUARDIAN ANGEL HOME CARE, INC. NPI is 1780929398. The provider is registered as an organization entity type.
The provider Is Doing Business As Guardian Angel Home Health & Hospice Care.

The provider's business location address is:

3110 CAMINO DEL RIO S
SUITE 307
SAN DIEGO, CA
ZIP 92108-812
Phone: (619) 624-0203
Fax: (619) 624-0210

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

The CLIA number assigned to this NPI record is 05D2024889 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2012 and was last updated on 2/18/2014.

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:

Other Identifiers

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