Guardian Angels in Home Services, LLC

Primary specialty

Chore ProviderTaxonomy code 372500000X

Legal business name

GUARDIAN ANGELS IN HOME SERVICES, LLC

Practice address

1227 Laurant Ave
Caruthersville, MO 63830-2145

Phone

(573) 333-0777

Fax

(573) 333-1002

NPI assigned

Jun 10, 2019

Organization subpart

No

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

Authorized official

Name

Carrie Hardaway

Title

Ceo

Phone

(573) 333-0777

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Guardian Angels in Home Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Guardian Angels in Home Services, LLC

  • Case Manager/Care Coordinator
  • Caruthersville, MO
  • NPI 1093374266
  NPD tax ID
• Guardian Angels in Home Services, LLC

  • Home Health Agency
  • Jackson, MO
  • NPI 1255602678
  NPD tax ID

Locations

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1710546098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638300004",
            "telephone_number": "573-333-0777",
            "fax_number": "573-333-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 LAURANT AVE",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638302145",
            "telephone_number": "573-333-0777",
            "fax_number": "573-333-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGELS IN HOME SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "HARDAWAY",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-333-0777"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M289312902",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glorious in Home and CDS LLC
• Grace Family Medical Clinic, LLC
• Brenda Joyce Gray, LCSW
• Guardian Angels CDS, LLC
• Guardian Angels in Home Services, LLC
• Latoya Shanta Guyton
• Jazmyne S Hall
• Tony Hardaway, LMT, NCTMB
• Tondra Harris
• Julie Ann Harrison

• Chore Provider in Caruthersville, MO
• Providers in Caruthersville, MO by specialty
• Chore Provider in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.