Angel's Guardian LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGEL'S GUARDIAN LLC

Practice address

13 Blueberry Way
Webster, MA 01570-3236

Phone

(508) 461-9647

NPI assigned

Mar 18, 2021

Last updated

Mar 18, 2021By 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

Mrs. Ruth Louissaint

Title

Ceo

Phone

(857) 249-5701

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649856956. Details of each certification follow.

• CCN 227768 Home health agency · Active · Details

Home health agency certification: CCN 227768

Legal name

ANGELS GUARDIAN LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 24, 2023

Last certification

Oct 24, 2023

Organization structure

LLCProprietary

Incorporated

Jan 21, 2021 in MA

Enrollment address

225 Cedar Hill St
Ste 200
Marlborough, MA 01752-5900

Listed as

Angel's Guardian LLCCCN 227768 · All quality measures

Ownership

-

Certified

Oct 24, 2023

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1649856956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BLUEBERRY WAY",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015703236",
            "telephone_number": "508-461-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BLUEBERRY WAY",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015703236",
            "telephone_number": "508-461-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL'S GUARDIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-14",
        "status": "A",
        "authorized_official_last_name": "LOUISSAINT",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "857-249-5701",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Webster",
            "affiliation": "N",
            "endpointDescription": "www.angelsguardianllc.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13 Blueberry Way",
            "city": "Webster",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015703236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Webster, MA
• Providers in Webster, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.