Guardian Angel Home Health, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GUARDIAN ANGEL HOME HEALTH, INC

Practice address

1611 Pebble Beach Dr
Bowie, MD 20721-2375

Phone

(703) 504-8322

Fax

(703) 454-0722

NPI assigned

Feb 12, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Chinyere Otuya, RNNPI 1134482615

Title

Administrator

Phone

(703) 504-8322

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chinyere Lois Otuya, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Largo, MD
  • NPI 1134482615
  NPD Authorized official

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1538625835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 PEBBLE BEACH DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212375",
            "telephone_number": "703-504-8322",
            "fax_number": "703-454-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 PEBBLE BEACH DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212375",
            "telephone_number": "703-504-8322",
            "fax_number": "703-454-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "OTUYA",
        "authorized_official_first_name": "CHINYERE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-504-8322",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND DEPARTMENT OF HEALTH OFFICE OF HEALTH CARE QUALITY",
            "identifier": "R4404",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penelope Lisa Griffith, MSW, LICSW, LCSW
• Grillo & Company
• Teresa Maria Grillo, O.D.
• Regina Grimmett, M.S, CCC-SLP
• Sydney Gross, PT, DPT
• Guardian Mental and Behavioral Health Services LLC
• Lisa Gucinski Waterman
• Gudmann Health Services LLC
• Muna Hiwot Gugasa, PMHNP
• Guidant Anesthesia Services

• Home Health Agency in Bowie, MD
• Providers in Bowie, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.