Active NPI
Guardian Angel Home Care and Hospice of Ontario
- Community Based Hospice Care Agency
- Ontario, CA
National Provider Identifier
1093351405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- GUARDIAN ANGEL HOME CARE AND HOSPICE OF ONTARIO
- Practice address
- 2910 Inland Empire Blvd Ste 100
Ontario, CA 91764-4896 - Phone
- (909) 983-0120
- Fax
- (909) 983-0163
- NPI assigned
- Nov 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sam D Kassab
- Title
- Ceo
- Phone
- (248) 293-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2910 Inland Empire Blvd Ste 100
Ontario, CA 91764-4896
Mailing address
1715 Northfield Dr
Rochester Hills, MI 48309-3819
Phone (248) 293-2400
National Provider Directory
National Provider Directory- Tax ID family
- Guardian Angel Home Care and Hospice of Ontario
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Ontario, CA
- NPI 1326684721
Locations
647 E E St
Ste 106
Ontario, CA 91764
Phone (248) 293-2400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589328000000",
"number": "1093351405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 NORTHFIELD DR",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483093819",
"telephone_number": "248-293-2400",
"fax_number": "248-293-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 INLAND EMPIRE BLVD STE 100",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917644896",
"telephone_number": "909-983-0120",
"fax_number": "909-983-0163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN ANGEL HOME CARE AND HOSPICE OF ONTARIO",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-20",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A",
"authorized_official_last_name": "KASSAB",
"authorized_official_first_name": "SAM",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "248-293-2400"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.