Active NPI
Guardian Angels Home Healthcare, Inc.
- Home Health Agency
- Farmville, NC
National Provider Identifier
1407916117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GUARDIAN ANGELS HOME HEALTHCARE, INC.
- Practice address
- 3637 S George St
Farmville, NC 27828-1897 - Phone
- (252) 753-3500
- NPI assigned
- Dec 11, 2006
- 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
- William Chavis Fields
- Title
- Director
- Phone
- (252) 753-3500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3637 S George St
Farmville, NC 27828-1897
Mailing address
3637 S George St
Farmville, NC 27828-1897
Phone (252) 753-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6601247 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Guardian Angels Home Healthcare Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Farmville, NC
- NPI 1215123252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1407916117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3637 S GEORGE ST",
"city": "FARMVILLE",
"state": "NC",
"postal_code": "278281897",
"telephone_number": "252-753-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3637 S GEORGE ST",
"city": "FARMVILLE",
"state": "NC",
"postal_code": "278281897",
"telephone_number": "252-753-3500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN ANGELS HOME HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FIELDS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "CHAVIS",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "252-753-3500"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6601247",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmville, NC
Sources for this page
- 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.