Guarding Angels Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GUARDING ANGELS HOME HEALTH LLC

Practice address

4200 Perimeter Center Dr Ste 237
Oklahoma City, OK 73112-2310

Phone

(405) 829-9257

Fax

(405) 516-3938

NPI assigned

Oct 27, 2017

Organization subpart

No

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

Authorized official

Name

Tony Kochuparambil

Title

Owner

Phone

(847) 372-5920

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Home health agency certification: CCN 377797

Legal name

GUARDING ANGELS HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 6, 2020

Last certification

Jan 6, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Oct 5, 2017 in OK

Enrollment address

3801 NW 63Rd St BDG 1
Ste 200
Oklahoma City, OK 73116-1936

Listed as

Guarding Angels Home Health LLCCCN 377797

Ownership

Proprietary

Certified

Jan 6, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jefferson Mbenga, FNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1184983744
  NPD

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Rita E Mba-Etuge

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1336617943

  Home health agency

  Care Compare affiliation
• Ian St George Thompson, MD

  • Family Medicine Physician
  • Edmond, OK
  • NPI 1184606873

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1669984878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 PERIMETER CENTER DR STE 237",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122310",
            "telephone_number": "405-829-9257",
            "fax_number": "405-516-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 PERIMETER CENTER DR STE 237",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122310",
            "telephone_number": "405-829-9257",
            "fax_number": "405-516-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDING ANGELS HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "KOCHUPARAMBIL",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-372-5920"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Grunow, MD
• Michael Johnathan Grunsted
• Kevin Guan
• Guardian Kare Residential Suites Corp
• Guardian Pharmacy of Oklahoma City, LLC
• Modhi Gude, MD
• Randell L Gudgel
• Renee Gudgel, APRN-CNS
• Andres Gudino, MD
• Camelia Irene Guernsey

• Home Health Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.