Guardian Angel Home Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GUARDIAN ANGEL HOME CARE INC.

Practice address

100 Stony Point Suite 265
Santa Rosa, CA 95401-5415

Phone

(707) 526-5210

Fax

(707) 526-5211

NPI assigned

May 11, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Sam D Kassab

Title

Ceo/President

Phone

(248) 293-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations (25 of 31)

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yelena Bogatello, AGPCNP, NP-C

  • Nurse Practitioner
  • Mayfield HTS, OH
  • NPI 1407198914
  NPD (past)

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1104204106",
    "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": "248-293-2418",
            "fax_number": "248-293-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STONY POINT SUITE 265",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015415",
            "telephone_number": "707-526-5210",
            "fax_number": "707-526-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "KASSAB",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "248-293-2400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104204106",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Lee Grund, DC, DACNB
• David A Grundy, MD
• Guadalupe Papalotzin DDS Corp
• Oscar Alejandro Guajardo
• Xue Guan, FNP-BC
• Guardian Angel Home Care of Santa Rosa
• Helen Gebretensai Gubsa
• Christiane Gude
• David Guenette
• Mary Guerard, L.AC AC3313

• Home Health Agency in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.