Guardian Angel Home Care Agency, Inc.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

GUARDIAN ANGEL HOME CARE AGENCY, INC.

Practice address

7210 N Lakeside Dr
Charlotte, NC 28215-4012

Phone

(704) 948-5654

Fax

(704) 563-1341

NPI assigned

Sep 9, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Marian M. Funderburk

Title

President & Ceo (Director)

Phone

(704) 948-5654

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1760630255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 N LAKESIDE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282154012",
            "telephone_number": "704-948-5654",
            "fax_number": "704-563-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 N LAKESIDE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282154012",
            "telephone_number": "704-948-5654",
            "fax_number": "704-563-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HOME CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "FUNDERBURK",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT & CEO (DIRECTOR)",
        "authorized_official_telephone_number": "704-948-5654",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate McKinley Grylicki
• Michelle Maria Guadagno, PA-C
• Natalie Guagenti
• Jamie Guagliano
• Amy Guard, PHARMD
• Guardian Pharmacy of the Piedmont Carolinas
• Guarding Futures Life Services, Inc.
• Kelly Colleen Guarente
• Melissa Jordan Guarnaccia, MSW, LCSW
• Audrey Gubernick

• Nursing Care Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Nursing Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.