Active NPI
Guardian Angel Home Care, Inc.
- Community Based Hospice Care Agency
- San Diego, CA
National Provider Identifier
1780929398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- GUARDIAN ANGEL HOME CARE, INC.
- Practice address
- 3110 Camino del Rio S
Suite 307
San Diego, CA 92108-3812 - Phone
- (619) 624-0203
- Fax
- (619) 624-0210
- NPI assigned
- Dec 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sam D Kassab
- Title
- Ceo/Owner
- Phone
- (248) 293-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
3110 Camino del Rio S
Suite 307
San Diego, CA 92108-3812
Mailing address
1715 Northfield Dr
Rochester Hills, MI 48309-3819
Phone (248) 293-2400
Other names 1
- Guardian Angel Home Health & Hospice Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392681600000",
"number": "1780929398",
"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": "3110 CAMINO DEL RIO S",
"address_2": "SUITE 307",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083812",
"telephone_number": "619-624-0203",
"fax_number": "619-624-0210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN ANGEL HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-07",
"last_updated": "2014-02-18",
"status": "A",
"authorized_official_last_name": "KASSAB",
"authorized_official_first_name": "SAM",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "248-293-2400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Guardian Angel Home Health & Hospice Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.