Guardian Angel Healthcare I

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GUARDIAN ANGEL HEALTHCARE I

Practice address

3466 Bridgeland Dr Ste 145
Bridgeton, MO 63044-2606

Phone

(314) 551-2201

NPI assigned

Dec 22, 2020

Last updated

Dec 22, 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

Andre Christopher Coffer

Title

Vice President

Phone

(314) 521-7896

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1619564895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 BRIDGELAND DR STE 145",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442606",
            "telephone_number": "314-551-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 BRIDGELAND DR STE 145",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442606",
            "telephone_number": "314-551-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HEALTHCARE I",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "COFFER",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "314-521-7896"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisha Lachelle Griffin-Essex, LCSW
• Harley M Griffith, DPM
• Joshua Griner, MD
• Courtney C Grodie, PA
• Maggie Lynn Groshong, MOT, OTR/L
• Timothy J Guernsey
• John Alexander Guiliano, PT
• Morgan Ashleigh Gumper
• Nicole Gundersen
• Michael Wayne Gunter

• Home Health Agency in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.