Guardian Angel Support Coordination Agency, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GUARDIAN ANGEL SUPPORT COORDINATION AGENCY, LLC

Practice address

1528 Walters Ave
Sharon Hill, PA 19079-2527

Phone

(215) 704-1606

NPI assigned

Jul 13, 2018

Last updated

Jul 13, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Beyan G Kesselly, MSAC

Title

Owner / Coo

Phone

(215) 704-1606

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1841776796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 WALTERS AVE",
            "city": "SHARON HILL",
            "state": "PA",
            "postal_code": "190792527",
            "telephone_number": "215-704-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 WALTERS AVE",
            "city": "SHARON HILL",
            "state": "PA",
            "postal_code": "190792527",
            "telephone_number": "215-704-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL SUPPORT COORDINATION AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "KESSELLY",
        "authorized_official_first_name": "BEYAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER / COO",
        "authorized_official_telephone_number": "215-704-1606",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSAC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Sharon Hill, PA
• Providers in Sharon Hill, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.