Guardian Angels Home Healthcare Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GUARDIAN ANGELS HOME HEALTHCARE INC

Practice address

12509 Oxnard St Ste 206
North Hollywood, CA 91606-4443

Phone

(818) 800-4894

NPI assigned

Aug 21, 2020

Last updated

Aug 21, 2020By 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

Ms. Gayane Sadikyan

Title

Ceo

Phone

(818) 800-4894

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508478322. Details of each certification follow.

• CCN 753153 Home health agency · Active · Details

Home health agency certification: CCN 753153

Legal name

GUARDIAN ANGELS HOME HEALTHCARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 28, 2022

Last certification

Jun 28, 2022

Organization structure

CorporationProprietary

Incorporated

Jun 1, 2020 in CA

Enrollment address

12509 Oxnard St
Ste 206
North Hollywood, CA 91606-4443

Listed as

Guardian Angels Home Healthcare IncCCN 753153 · All quality measures

Overall star rating

4.5 of 5

Ownership

-

Certified

Jun 28, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Eliza Sukhee Ahn, M.D.

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1356450498

  Home health agency

  Care Compare affiliation
• Bernadette De Lara Guia, N.P.

  • Family Nurse Practitioner
  • Panorama City, CA
  • NPI 1376911131

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1508478322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12509 OXNARD ST STE 206",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064443",
            "telephone_number": "818-800-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12509 OXNARD ST STE 206",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064443",
            "telephone_number": "818-800-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGELS HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "SADIKYAN",
        "authorized_official_first_name": "GAYANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-800-4894",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Grinberg
• Dale M Gross, DC
• Yuliya Gruppina, DC
• GTS Home Health Services Inc
• Pastora Guardado
• Cattia Jasmine Gudiel, MFT
• Daisy Elizabeth Guerra, RDN
• Ilse Guerra
• Rachel Guerra
• Maria Rita Guevara, MD

• Home Health Agency in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.