Guardian Angels CDS, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GUARDIAN ANGELS CDS, LLC

Practice address

105 W 12TH St Ste C
Caruthersville, MO 63830-1817

Phone

(573) 333-0777

Fax

(573) 333-1002

NPI assigned

Jan 14, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Carrie Harris

Title

Ceo

Phone

(573) 333-0777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1659793412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 12TH ST STE C",
            "address_2": "PO BOX 4",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638301817",
            "telephone_number": "573-333-0777",
            "fax_number": "573-333-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 12TH ST STE C",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638301817",
            "telephone_number": "573-333-0777",
            "fax_number": "573-333-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGELS CDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-333-0777",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John D Gardner, D.D.S.
• Heather German
• Glorious in Home and CDS LLC
• Grace Family Medical Clinic, LLC
• Brenda Joyce Gray, LCSW
• Guardian Angels in Home Services, LLC
• Guardian Angels in Home Services, LLC
• Latoya Shanta Guyton
• Jazmyne S Hall
• Tony Hardaway, LMT, NCTMB

• In Home Supportive Care Agency in Caruthersville, MO
• Providers in Caruthersville, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.