Organization Active NPI

Life Guardian Angels Healthcare LLC

  • Home Health Agency
  • Matteson, IL
National Provider Identifier
1821704727
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jul 24, 2023

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2310216Life Guardian Angels Healthcare LLC600 Holiday Plaza Dr - Ste 184, Matteson, IL 60443Certificate of waiverAug 28, 2026

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.