Organization Active NPI

Guardian Angels Collaborative Care, LLC

  • Attendant Care Provider
  • Indianapolis, IN
National Provider Identifier
1023730041
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
GUARDIAN ANGELS COLLABORATIVE CARE, LLC
Practice address
2575 55TH PL Ste F
Indianapolis, IN 46220-3511
Phone
(317) 514-0431
NPI assigned
Sep 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Monica Willis-Venerable
Title
Owner
Phone
(317) 514-0431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care ProviderGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 3747A0650X Primary

Addresses

Primary practice location

2575 55TH PL Ste F
Indianapolis, IN 46220-3511

Mailing address

2575 55TH PL Ste F
Indianapolis, IN 46220-3511
Phone (317) 514-0431

National Provider Directory

National Provider Directory

Locations

2575 55th Pl
Ste F
Indianapolis, IN 46220
Phone (317) 514-0431

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1023730041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 55TH PL STE F",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203511",
            "telephone_number": "317-514-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 55TH PL STE F",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203511",
            "telephone_number": "317-514-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGELS COLLABORATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "WILLIS-VENERABLE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-514-0431"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.