Guardian Angel Personal Services, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

09-012231-1 Issued in IN

Legal business name

GUARDIAN ANGEL PERSONAL SERVICES, INC.

Practice address

11617 E State Road 67
Bicknell, IN 47512-8232

Phone

(812) 735-2811

Fax

(812) 735-2332

NPI assigned

Dec 6, 2009

Last updated

Dec 6, 2009By 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

Mrs. Lori Sue Hadlock, RN

Title

President

Phone

(812) 735-2811

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1260057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260057600000",
    "number": "1427386291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11617 E STATE ROAD 67",
            "address_2": "P.O. BOX 196",
            "city": "BICKNELL",
            "state": "IN",
            "postal_code": "475128232",
            "telephone_number": "812-735-2811",
            "fax_number": "812-735-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11617 E STATE ROAD 67",
            "city": "BICKNELL",
            "state": "IN",
            "postal_code": "475128232",
            "telephone_number": "812-735-2811",
            "fax_number": "812-735-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL PERSONAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-06",
        "last_updated": "2009-12-06",
        "status": "A",
        "authorized_official_last_name": "HADLOCK",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-735-2811",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "09-012231-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA STATE DEPARTMENT OF HEALTH",
            "identifier": "09-012231-1",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Good Samaritan Family Health Center, Inc (Family Health Center)
• Good Samaritan Family Health Center, Inc (Family Health Center)
• Good Samaritan Hospital (GSH Bicknell Diagnostic Center)
• Good Samaritan Hospital (Good Samaritan Bicknell Primary Care)
• Guardian Angel Home Health Care, Inc
• James S Breuker DDS & Associates LLC
• Tom S Kirkwood, MD
• Knox County Association for Retarded Citizens, Inc.
• Knox County Association for Retarded Citizens, Inc.
• North Knox School Corporation

• In Home Supportive Care Agency in Bicknell, IN
• Providers in Bicknell, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2009; 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.