Guardian Angel Hospice Care for Children

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

117 Issued in MS

Legal business name

GUARDIAN ANGEL HOSPICE CARE FOR CHILDREN

Practice address

514 W Fulton St
Canton, MS 39046-4254

Phone

(601) 720-1187

Fax

(601) 859-1881

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Linda Gail Dunigan, RN/MHA

Title

Ceo

Phone

(601) 720-1187

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1144326711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W FULTON ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464254",
            "telephone_number": "601-720-1187",
            "fax_number": "601-859-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W FULTON ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464254",
            "telephone_number": "601-720-1187",
            "fax_number": "601-859-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HOSPICE CARE FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "DUNIGAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-720-1187",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN/MHA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01785796",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.