Guardian Angels Homemaker Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GUARDIAN ANGELS HOMEMAKER SERVICES

Practice address

612 Sunflower Avenue Ext Ste 19B
Indianola, MS 38751-2333

Phone

(662) 392-3965

NPI assigned

Feb 27, 2019

Last updated

Feb 27, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

WELLNESS PERSONAL CARE SERVICE LLC.As reported in NPPES

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

Authorized official

Name

Gwendolyn Blake

Title

Administrator

Phone

(662) 392-3965

Specialties & licenses 1

Addresses

Part of

Wellness Personal Care Service LLC

Locations

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1215494117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 ALEXANDER AVE",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512703",
            "telephone_number": "662-392-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 SUNFLOWER AVENUE EXT STE 19B",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512333",
            "telephone_number": "662-392-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGELS HOMEMAKER SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLNESS PERSONAL CARE SERVICE LLC.",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-392-3965"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.