Guardian Angel Home Care, Inc.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

GUARDIAN ANGEL HOME CARE, INC.

Practice address

10000 N. 31St Avenue
Suite B111
Phoenix, AZ 85051-0907

Phone

(330) 752-0141

Fax

(248) 293-2401

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Sam D. Kassab

Title

Ceo

Phone

(248) 293-2400

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Dignity Health at Home, LLC

  • Home Health Agency
  • Chandler, AZ
  • NPI 1831678218

  Sold to, 2018-10-29

  CMS change of ownership

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1497917041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 NORTHFIELD DRIVE",
            "address_2": "GUARDIAN ANGEL HOME CARE, INC.",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093819",
            "telephone_number": "248-293-2400",
            "fax_number": "248-293-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 N. 31ST AVENUE",
            "address_2": "SUITE B111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850510907",
            "telephone_number": "330-752-0141",
            "fax_number": "248-293-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "KASSAB",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-293-2400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "534606",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Monroe Guajardo, M.D.
• Ralph Gualtieri, MD
• Jennie J Guan, RND
• Guaranteed Dental Solutions
• Guardian Angel Family Services
• Guardian Angel Home Healthcare
• Guardian Home Care of Az LLC
• Guardian Pharmacy of Arizona, LLC
• Guardian Transport Services LLC
• Miriam Guarino, ANP-C

• Home Health Registered Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Home Health Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.