Organization Active NPI

Life Guardian Angels Homecare LLC

  • Homemaker
  • Matteson, IL
National Provider Identifier
1730894791
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
LIFE GUARDIAN ANGELS HOMECARE LLC
Practice address
600 Holiday Plaza Dr Ste 184
Matteson, IL 60443-2236
Phone
(773) 954-4385
NPI assigned
Jan 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Teshon Ogundele
Title
Owner/President
Phone
(708) 885-9152

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

600 Holiday Plaza Dr Ste 184
Matteson, IL 60443-2236

Mailing address

6842 S Clyde Ave Apt 1
Chicago, IL 60649-2155
Phone (773) 954-4385

National Provider Directory

National Provider Directory

Locations

600 Holiday Plaza Dr
Ste 184
Matteson, IL 60443
Phone (708) 646-3965

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1730894791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6842 S CLYDE AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492155",
            "telephone_number": "773-954-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOLIDAY PLAZA DR STE 184",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432236",
            "telephone_number": "773-954-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE GUARDIAN ANGELS HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "OGUNDELE",
        "authorized_official_first_name": "TESHON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "708-885-9152"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.