Guardian Angel Senior Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GUARDIAN ANGEL SENIOR CARE, LLC

Practice address

831 N Eastland Ave
Kingstree, SC 29556-2555

Phone

(843) 354-3500

Fax

(843) 354-3500

NPI assigned

May 11, 2022

Organization subpart

No

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

Authorized official

Name

Margaret Tisdale Fitts

Title

President & Ceo

Phone

(843) 354-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Margaret Fitts

  • Transportation Broker
  • Columbia, SC
  • NPI 1770243479
  NPD

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1730825787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 GILLAND AVE",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295563204",
            "telephone_number": "770-329-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 N EASTLAND AVE",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295562555",
            "telephone_number": "843-354-3500",
            "fax_number": "843-354-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "TISDALE  FITTS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "843-354-3500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0787",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Gregor
• Erick Grier, RPH
• Whitney Ard Grier, OTR
• David Fox Grossman, DMD
• Gtog Services
• Paul Andrew Gulledge, FNP
• H Alton Boyd Seinor Center
• Hampton Transitional Academy
• Gail N Hampton, BACHELOR OF SCIENCE
• Lisa Ann Hannah

• Home Health Agency in Kingstree, SC
• Providers in Kingstree, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.