NPIMap

Organization Active NPI

Guardian Angels Home Care Agency LLC

  • In Home Supportive Care Agency
  • Cleveland, OH
National Provider Identifier
1568297992
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GUARDIAN ANGELS HOME CARE AGENCY LLC
Practice address
1311 East 82ND Street
Cleveland, OH 44103-2941
Phone
(216) 225-3448
NPI assigned
Sep 5, 2024
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Ms. Jaishawna Donata BatesNPI 1508628462
Title
Chief Operating Officer
Phone
(216) 835-1925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X NU
Non-emergency Medical Transport (VAN) 343900000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

1311 East 82ND Street
Cleveland, OH 44103-2941

Mailing address

8304 Wade Park Ave
Cleveland, OH 44103-2941
Phone (216) 501-8640

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1568297992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8304 WADE PARK AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441032941",
            "telephone_number": "216-501-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 EAST 82ND STREET",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441032941",
            "telephone_number": "216-225-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGELS HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "JAISHAWNA",
        "authorized_official_middle_name": "DONATA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "216-835-1925",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.