NPIMap

Organization Active NPI

Guardian Angel Home Health, Inc.

  • Home Health Agency
  • Farmington, NM
National Provider Identifier
1215488192
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
3132 Issued in NM
Legal business name
GUARDIAN ANGEL HOME HEALTH, INC.
Practice address
2800 Hutton Ave
Farmington, NM 87402-4560
Phone
(505) 564-9002
Fax
(505) 564-9022
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Dixie Leigh Thompson, RN
Title
Owner/President
Phone
50055649002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 3132 NM Primary

Addresses

Primary practice location

2800 Hutton Ave
Farmington, NM 87402-4560

Mailing address

PO Box 3590
Farmington, NM 87499-3590
Phone (505) 564-9002

Other identifiers 1

IdentifierTypeStateIssuer
51629861MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
Guardian Angel Home Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1215488192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3590",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874993590",
            "telephone_number": "505-564-9002",
            "fax_number": "505-564-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 HUTTON AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024560",
            "telephone_number": "505-564-9002",
            "fax_number": "505-564-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DIXIE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "50055649002",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "3132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51629861",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.