Guardian Angel Healthcare II, Inc

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

16-255 Issued in MS

Legal business name

GUARDIAN ANGEL HEALTHCARE II, INC

Doing business as

Patients' Choice Medical Center

Practice address

347 Magnolia Drive
Raleigh, MS 39153

Phone

(601) 782-9997

NPI assigned

Jul 11, 2008

Last updated

Feb 7, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

GUARDIAN ANGEL HEALTHCARE II, INC.As reported in NPPES

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

Authorized official

Name

Dr. Paulette Butler, PHD

Title

Ceo

Phone

(601) 732-7384

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Patients' Choice Medical Center Doing business as

Part of

Guardian Angel Hlthcare Inc

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1568626216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 S HALL RD",
            "city": "MORTON",
            "state": "MS",
            "postal_code": "391178057",
            "telephone_number": "601-732-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MAGNOLIA DRIVE",
            "city": "RALEIGH",
            "state": "MS",
            "postal_code": "39153",
            "telephone_number": "601-782-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HEALTHCARE II, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUARDIAN ANGEL HEALTHCARE II, INC.",
        "enumeration_date": "2008-07-11",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-732-7384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MS",
            "license": "16-255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SWING BED CMS CERTIFICATION NUMBER",
            "identifier": "25-U163",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patients' Choice Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patients' Choice Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Guardian Angel Healthcare II, Inc (Patient's Choice Medical Center)
• Guardian Angel Healthcare II, Inc (Patient's Choice Medical Center of Smith County)
• Guardian Angel Healthcare II, Inc.
• Guardian Angel Healthcare II, Inc. (Patients' Choice Medical Center of Smith county)
• Guardian Angel Healthcare Inc., II (Patients Choice Clinic of Raleigh)
• Guardian Angel Healthcare Inc., II (Patients Choice Medical Center)

• Medicare Defined Swing Bed Hospital Unit in Raleigh, MS
• Providers in Raleigh, MS by specialty
• Medicare Defined Swing Bed Hospital Unit in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.