Organization Active NPI

Guardian Angels Home Care LLC

  • Home Health Agency
  • Hattiesburg, MS
National Provider Identifier
1376243881
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Mar 6, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
08809880MedicaidMS

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.