Angel de la Guardia

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

PENDING Issued in TX

Legal business name

ANGEL DE LA GUARDIA

Practice address

1721 E Griffin Pkwy
Suite a
Mission, TX 78572-3103

Phone

(956) 584-3196

Fax

(956) 584-3187

NPI assigned

Jun 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roberto Hernandez, COTA/L

Title

Administrator

Phone

(956) 584-3196

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376589580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 E GRIFFIN PKWY",
            "address_2": "SUITE A",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723103",
            "telephone_number": "956-584-3196",
            "fax_number": "956-584-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 E GRIFFIN PKWY",
            "address_2": "SUITE A",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723103",
            "telephone_number": "956-584-3196",
            "fax_number": "956-584-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL DE LA GUARDIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-584-3196",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angelitos DME LLC.
• Angelitos Home Health Care, Inc

• Home Health Agency in Mission, TX
• Providers in Mission, TX by specialty
• Home Health Agency in Texas

• 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.