Her Guardian Angel

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

HER GUARDIAN ANGEL

Practice address

714 Adams Ave Ste 205
Huntington Beach, CA 92648-3271

Phone

(714) 960-5604

NPI assigned

May 22, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Tracey R Jaksch

Title

Founder-Executive Director

Phone

(714) 960-5604

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1306106489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 ADAMS AVE STE 205",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483271",
            "telephone_number": "714-960-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 ADAMS AVE STE 205",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483271",
            "telephone_number": "714-960-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HER GUARDIAN ANGEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "JAKSCH",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FOUNDER-EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-960-5604",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Noel Henning, MFT MA
• Timothy Lawrence Hennings
• Joni Louise Henry
• Kassandra Babette Henry
• Sydney Hensler
• Taylor Paige Herbel, SLP
• Annette Hermelin
• Cynthia Hernandez Rodriguez
• Alvaro Rafael Hernandez Saavedra, DDS
• Marlene Vanessa Hernandez Vazquez

• Substance Abuse Rehabilitation Facility in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.