Active NPI
Guardian Angels in Home Services, LLC
- Home Health Agency
- Jackson, MO
National Provider Identifier
1255602678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GUARDIAN ANGELS IN HOME SERVICES, LLC
- Practice address
- 1335 Old Cape Rd
Suite F
Jackson, MO 63755-2268 - Phone
- (573) 204-3800
- Fax
- (573) 204-3888
- NPI assigned
- Jan 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carrie Harris
- Title
- Ceo
- Phone
- (573) 204-3800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
1335 Old Cape Rd
Suite F
Jackson, MO 63755-2268
Mailing address
1335 Old Cape Rd
Suite F
Jackson, MO 63755-2268
Phone (573) 204-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000000 | Other | MO | PENDING MISSOURI MEDICAID AS PAYOR |
National Provider Directory
National Provider Directory- Tax ID family
- Guardian Angels in Home Services LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Manager/Care Coordinator
- Caruthersville, MO
- NPI 1093374266
-
- Chore Provider
- Caruthersville, MO
- NPI 1710546098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346284800000",
"number": "1255602678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 OLD CAPE RD",
"address_2": "SUITE F",
"city": "JACKSON",
"state": "MO",
"postal_code": "637552268",
"telephone_number": "573-204-3800",
"fax_number": "573-204-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 OLD CAPE RD",
"address_2": "SUITE F",
"city": "JACKSON",
"state": "MO",
"postal_code": "637552268",
"telephone_number": "573-204-3800",
"fax_number": "573-204-3888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN ANGELS IN HOME SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-17",
"last_updated": "2012-08-30",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "CARRIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "573-204-3800"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENDING MISSOURI MEDICAID AS PAYOR",
"identifier": "00000000",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.