Guardian Angel Home Care, Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

GUARDIAN ANGEL HOME CARE, INC

Practice address

2201 Woodwyck Way
Raleigh, NC 27604-6128

Phone

(919) 231-8683

Fax

(919) 231-0226

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Hyacinth Edwina Reece-Headleh, MSM

Title

Executive Director

Phone

(919) 231-8683

Specialties & licenses 1

Addresses

Tax ID family

Guardian Angel Home Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Guardian Angel Home Care, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Raleigh, NC
  • NPI 1861527947
  NPD tax ID

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053451294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 WOODWYCK WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276046128",
            "telephone_number": "919-231-8683",
            "fax_number": "919-231-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 WOODWYCK WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276046128",
            "telephone_number": "919-231-8683",
            "fax_number": "919-231-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REECE-HEADLEH",
        "authorized_official_first_name": "HYACINTH",
        "authorized_official_middle_name": "EDWINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-231-8683",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSM"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Lynn Gryske, MS, BCBA
• Nicole Gryzik, AU.D.
• GSB Enterprise LLC
• Gerardo Guadarrama Jr., OD
• Lawrence Guan, MD
• Guardian Angel Home Care, Inc
• Guardian Care Solutions LLC
• Guardian Home Healthcare
• Guardian Medical Supplies, Inc.
• Michael Joseph Guardino, D.C.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.