Guardian Angels Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

11-012572-1 Issued in IN

Legal business name

GUARDIAN ANGELS HOMECARE LLC

Doing business as

Home Helpers Direct Link # 58505

Practice address

4400 Washington Ave # 303
Evansville, IN 47714-0887

Phone

(270) 485-8663

Fax

(270) 926-7021

NPI assigned

Jun 15, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Eugene O'Bryan

Title

Owner

Phone

(270) 485-8663

Specialties & licenses 2

Addresses

Other names 1

• Home Helpers Direct Link # 58505 Doing business as

Locations

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1467747634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 WILDER DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037267",
            "telephone_number": "270-485-8663",
            "fax_number": "270-926-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 WASHINGTON AVE # 303",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140887",
            "telephone_number": "270-485-8663",
            "fax_number": "270-926-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGELS HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "O'BRYAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-485-8663",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "11-012572-1",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "KY",
            "license": "500126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Helpers Direct Link # 58505",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amy Guillaume, DPT, CSCS
• Heather Guinn, LCSW
• John D. Guletz, MD

• In Home Supportive Care Agency in Evansville, IN
• Providers in Evansville, 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 Jun 15, 2011; 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.