Active NPI
Guardian Angels Home Care LLC
- Home Health Agency
- Hattiesburg, MS
National Provider Identifier
1376243881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GUARDIAN ANGELS HOME CARE LLC
- Practice address
- 6668 U S Highway 98 Ste F
Hattiesburg, MS 39402-7982 - Phone
- (601) 336-7987
- Fax
- (470) 264-1035
- NPI assigned
- Mar 6, 2023
- 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
- Tiffany N Expose'
- Title
- Owner
- Phone
- (404) 406-1129
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6668 U S Highway 98 Ste F
Hattiesburg, MS 39402-7982
Mailing address
4416 Waxwing St
Hoschton, GA 30548-5539
Phone (404) 406-1129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08809880 | Medicaid | MS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678060800000",
"number": "1376243881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4416 WAXWING ST",
"city": "HOSCHTON",
"state": "GA",
"postal_code": "305485539",
"telephone_number": "404-406-1129",
"fax_number": "470-264-1035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6668 U S HIGHWAY 98 STE F",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394027982",
"telephone_number": "601-336-7987",
"fax_number": "470-264-1035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN ANGELS HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-04",
"status": "A",
"authorized_official_last_name": "EXPOSE'",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-406-1129"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08809880",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
- Mary Griffith, LPC
- Pamela Griffith, CMHT
- Shelley Griffith, LMSW
- Phyllis A Grinstead, PCMHT
- Grove Transportation Company of Mississippi LLC
- Guardian Angels Home Care LLC
- Guardian Angels Hospice & Palliative Care LLC
- Mitchell Morris Guess, D.M.D
- Carter Kenneth Derrick Guice III
- Charles Edwin Guice III, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.