NPIMap

Organization Active NPI

Guardian Angel Home Care and Hospice of Akron

  • Home Health Agency
  • Akron, OH
National Provider Identifier
1770128902
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GUARDIAN ANGEL HOME CARE AND HOSPICE OF AKRON
Practice address
2641 S Arlington Rd
Akron, OH 44319-2044
Phone
(330) 493-4707
Fax
(248) 293-2401
NPI assigned
Nov 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Sam D Kassab
Title
Ceo
Phone
(248) 293-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2641 S Arlington Rd
Akron, OH 44319-2044

Mailing address

1715 Northfield Dr
Rochester Hills, MI 48309-3819
Phone (248) 293-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200709003751 OH Part A Provider - Home Health Agency 0143641373 Practice locations: Akron, OH

Home health agency certification: CCN 368165

Legal name
GUARDIAN ANGEL HOME CARE AND HOSPICE OF AKRON
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 17, 2006
Last certification
Oct 4, 2012
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
2641 S Arlington Rd
Akron, OH 44319-2044

Care Compare: Home health agency

Medicare Care Compare
Listed as
Guardian Angel Home Care and Hospice of AkronCCN 368165
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Nov 17, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Guardian Angel Home Care and Hospice of2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Guardian Angel Home Care Inc Organization, Rochester Hills, MS Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2020 100%
Gerald Kustra Individual Corporate DirectorBoard Member Apr 1, 2020
Faye Kassab Individual Corporate DirectorBoard Member Apr 1, 2020
Jaclyn Bachik Individual W-2 Managing EmployeeAd; Mar 11, 2026
Sam D Kassab Individual 5% Or Greater Indirect Ownership Interest Oct 24, 2019
Corporate Officer Oct 24, 2019
Operational/Managerial Control Oct 24, 2019
Guardian Angel Home Care of Ohio LLC Organization, Rochester Hills, MI LLC 5% Or Greater Direct Ownership Interest Apr 1, 2020 100%

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1770128902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 NORTHFIELD DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093819",
            "telephone_number": "248-293-2400",
            "fax_number": "248-293-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 S ARLINGTON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443192044",
            "telephone_number": "330-493-4707",
            "fax_number": "248-293-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HOME CARE AND HOSPICE OF AKRON",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "KASSAB",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-293-2400"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.