Organization Active NPI

Guardian Angels Pediatric Home Care, LLC

Doing business as Guardian Angels Healthcare

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1184041725
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GUARDIAN ANGELS PEDIATRIC HOME CARE, LLC
Doing business as
Guardian Angels Healthcare
Practice address
1945 Lockhill Selma Rd Ste 203
San Antonio, TX 78213-1554
Phone
(210) 437-4119
Fax
(210) 569-5257
NPI assigned
Mar 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Cynthia O Cavazos
Title
Cfo
Phone
(210) 437-4119

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X
Nursing Care Agency 251J00000X 016295 TX
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1945 Lockhill Selma Rd Ste 203
San Antonio, TX 78213-1554

Mailing address

1945 Lockhill Selma Rd Ste 203
San Antonio, TX 78213-1554
Phone (210) 437-4119

Other names 1

  • Guardian Angels Healthcare Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2091320Guardian Angels Healthcare1945 Lockhill Selma Road, Ste # 203, San Antonio, TX 78213Certificate of waiverFeb 10, 2027

National Provider Directory

National Provider Directory

Locations

7272 Wurzbach Rd
Ste 1104
San Antonio, TX 78240
Phone (210) 437-4119

1945 Lockhill Selma Rd
Ste 203
San Antonio, TX 78213
Phone (210) 413-2717

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1184041725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 LOCKHILL SELMA RD STE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131554",
            "telephone_number": "210-437-4119",
            "fax_number": "210-569-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 LOCKHILL SELMA RD STE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131554",
            "telephone_number": "210-437-4119",
            "fax_number": "210-569-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGELS PEDIATRIC HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "CAVAZOS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "210-437-4119"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "016295",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Angels Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guardian Angels Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.