Active NPI
Guardian Angels Home Services
- Home Health Agency
- Dayton, OH
National Provider Identifier
1710333273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GUARDIAN ANGELS HOME SERVICES
- Practice address
- 50 Brenner Ave
Dayton, OH 45403-1122 - Phone
- (937) 718-5488
- Fax
- (937) 258-3100
- NPI assigned
- May 13, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammy J Brown
- Title
- Owner
- Phone
- (937) 718-5488
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Public Health or Welfare Agency | 251K00000X |
Addresses
Primary practice location
50 Brenner Ave
Dayton, OH 45403-1122
Mailing address
50 Brenner Ave
Dayton, OH 45403-1122
Phone (937) 718-5488
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400784130708 | Other | OH | STATE TESTED NURSE AIDE |
| 0115965 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463097600000",
"number": "1710333273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 BRENNER AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454031122",
"telephone_number": "937-718-5488",
"fax_number": "937-258-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BRENNER AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454031122",
"telephone_number": "937-718-5488",
"fax_number": "937-258-3100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN ANGELS HOME SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-13",
"last_updated": "2016-05-13",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-718-5488"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE TESTED NURSE AIDE",
"identifier": "400784130708",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0115965",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.