Organization Active NPI

Guardian Angels Senior Care, Inc.

  • Home Health Agency
  • Marietta, GA
National Provider Identifier
1235336207
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
033-R-0288 Issued in GA
Legal business name
GUARDIAN ANGELS SENIOR CARE, INC.
Practice address
1355 Terrell Mill Rd SE
BLDG 1460 Suite 200
Marietta, GA 30067-5496
Phone
(770) 612-8088
Fax
(770) 953-3031
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Victoria Suzanne Devargas
Title
Owner
Phone
(770) 612-8088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 033-R-0288 GA Primary

Addresses

Primary practice location

1355 Terrell Mill Rd SE
BLDG 1460 Suite 200
Marietta, GA 30067-5496

Mailing address

1355 Terrell Mill Rd SE
BLDG 1460 Suite 200
Marietta, GA 30067-5496

National Provider Directory

National Provider Directory

Locations

1355 Terrell Mill Rd SE
Bldg 1460
Marietta, GA 30067
Phone (404) 439-9981

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235336207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 TERRELL MILL RD SE",
            "address_2": "BLDG 1460 SUITE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675496",
            "fax_number": "770-953-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 TERRELL MILL RD SE",
            "address_2": "BLDG 1460 SUITE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675496",
            "telephone_number": "770-612-8088",
            "fax_number": "770-953-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGELS SENIOR CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEVARGAS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-612-8088",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "033-R-0288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.