Guardian Angel Home Care Agency, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

30211549 Issued in FL

Legal business name

GUARDIAN ANGEL HOME CARE AGENCY, LLC

Practice address

1532 N Harbor City Blvd Ste a
Melbourne, FL 32935-6533

Phone

(321) 633-9730

Fax

(321) 633-5061

NPI assigned

Jul 11, 2012

Last updated

May 9, 2023By 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

Nicole Marie Stone

Title

Assistant Administrator

Phone

(321) 633-9730

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1447515812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 N HARBOR CITY BLVD STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356533",
            "telephone_number": "321-633-9730",
            "fax_number": "321-633-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 N HARBOR CITY BLVD STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356533",
            "telephone_number": "321-633-9730",
            "fax_number": "321-633-5061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1532 N Harbor City Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329356533",
            "country_code": "US",
            "telephone_number": "321-633-9730 x3",
            "fax_number": "321-633-5061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HOME CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "321-633-9730"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "30211549",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "30211549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Grunzweig
• Yanqing Gu, MD
• Kerri Guadagni, PSY.D.
• Christine Guadalupe, PTA
• Mitchell J Guanzon, APRN
• Maria Gudnitz
• Jose Adrian Guerra Chico, DMD
• Jose Antonio Guerra, C.S.A.
• Joseph Antonio Guerra, CSFA
• Jorge Guerrero, M.D.

• In Home Supportive Care Agency in Melbourne, FL
• Providers in Melbourne, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.