Organization Active NPI

Guardian Angel Home Care Services,LLC

  • Home Health Agency
  • Columbia, SC
National Provider Identifier
1558476473
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GUARDIAN ANGEL HOME CARE SERVICES,LLC
Practice address
1825 Saint Julian PL
Ste #G-6
Columbia, SC 29204-2424
Phone
(803) 312-9990
Fax
(803) 312-9990
NPI assigned
Aug 20, 2006
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mrs. Margaret T Fitts
Title
President/Owner
Phone
(803) 312-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1825 Saint Julian PL
Ste #G-6
Columbia, SC 29204-2424

Mailing address

1825 Saint Julian PL
Ste #G-6
Columbia, SC 29204-2424
Phone (803) 312-9990

Other identifiers 1

IdentifierTypeStateIssuer
EX0787MedicaidSC

National Provider Directory

National Provider Directory

Locations

1825 Saint Julian Pl
Ste G6
Columbia, SC 29204
Phone (803) 312-9990

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1558476473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 SAINT JULIAN PL",
            "address_2": "STE #G-6",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042424",
            "telephone_number": "803-312-9990",
            "fax_number": "803-312-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 SAINT JULIAN PL",
            "address_2": "STE #G-6",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042424",
            "telephone_number": "803-312-9990",
            "fax_number": "803-312-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HOME CARE SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "FITTS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "803-312-9990",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0787",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.