Guardian Angel RCF

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

033926 Issued in MO

Legal business name

GUARDIAN ANGEL RCF

Practice address

6112 Manning Ave
Raytown, MO 64133-3757

Phone

(816) 313-2515

Fax

(816) 313-9935

NPI assigned

Aug 13, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Ralene Elaine Davis, L.P.N.

Title

Owner/Operator

Phone

(816) 313-2515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1508058660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 MANNING AVE",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641333757",
            "telephone_number": "816-313-2515",
            "fax_number": "816-313-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 MANNING AVE",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641333757",
            "telephone_number": "816-313-2515",
            "fax_number": "816-313-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL RCF",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RALENE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "816-313-2515",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.P.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "033926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim Goodheart, D.D.S.
• Gabriella C Goodwin, DOCTORATE
• Kimberly Griswold
• Kathryn M Grote, CCC-A
• Guardian Angel Home Health Care ,Inc
• Jamie Gudenkauf, FNP
• Heather Haas, M.S., CCC-SLP
• Joyce G. Hagar, DC
• Sean Hagey
• Ile D Haggins, MSW

• Assisted Living Facility in Raytown, MO
• Providers in Raytown, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.