Organization Active NPI

Guardian Angel Nursing Services, Inc.

  • Home Health Agency
  • Laurel, MD
National Provider Identifier
1184816894
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R2532 Issued in MD
Legal business name
GUARDIAN ANGEL NURSING SERVICES, INC.
Practice address
9674 Halstead Ave
Laurel, MD 20723-1882
Phone
(240) 271-0997
NPI assigned
Aug 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Authorized official

Name
Bolajoko Otukoya
Title
Administrator
Phone
(240) 271-0997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R2532 MD Primary

Addresses

Primary practice location

9674 Halstead Ave
Laurel, MD 20723-1882

Mailing address

9674 Halstead Ave
Laurel, MD 20723-1882
Phone (240) 271-0997

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1184816894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9674 HALSTEAD AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231882",
            "telephone_number": "240-271-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9674 HALSTEAD AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231882",
            "telephone_number": "240-271-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL NURSING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "OTUKOYA",
        "authorized_official_first_name": "BOLAJOKO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-271-0997"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R2532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.