Active NPI
Life Guardian Angels Healthcare LLC
- Home Health Agency
- Matteson, IL
National Provider Identifier
1821704727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LIFE GUARDIAN ANGELS HEALTHCARE LLC
- Practice address
- 600 Holiday Plaza Dr Ste 184
Matteson, IL 60443-2241 - Phone
- (708) 646-3965
- NPI assigned
- Jan 25, 2023
- 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
- Teshon Ogundele
- Title
- Owner/President
- Phone
- (773) 954-4385
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
600 Holiday Plaza Dr Ste 184
Matteson, IL 60443-2241
Mailing address
906 Eagle Point Dr
Matteson, IL 60443-1987
Phone (708) 646-3965
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2310216 | Life Guardian Angels Healthcare LLC | Certificate of waiver | Aug 28, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690156800000",
"number": "1821704727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 EAGLE POINT DR",
"city": "MATTESON",
"state": "IL",
"postal_code": "604431987",
"telephone_number": "708-646-3965"
},
{
"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": "604432241",
"telephone_number": "708-646-3965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE GUARDIAN ANGELS HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-25",
"last_updated": "2023-07-24",
"certification_date": "2023-07-03",
"status": "A",
"authorized_official_last_name": "OGUNDELE",
"authorized_official_first_name": "TESHON",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "773-954-4385"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"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 Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.