Guardian Angels Primary Home Care, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GUARDIAN ANGELS PRIMARY HOME CARE, INC.

Practice address

2808 Memorial Jr High Dr
Eagle Pass, TX 78852-3894

Phone

(830) 421-8653

Fax

(830) 773-0008

NPI assigned

Mar 24, 2008

Organization subpart

No

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

Authorized official

Name

Blanca E Perales

Title

Owner

Phone

(830) 421-8653

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1871765487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 MEMORIAL JR HIGH DR",
            "address_2": "PO BOX 702",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788523894",
            "telephone_number": "830-421-8653",
            "fax_number": "830-773-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 MEMORIAL JR HIGH DR",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788523894",
            "telephone_number": "830-421-8653",
            "fax_number": "830-773-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGELS PRIMARY HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "PERALES",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-421-8653"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES",
            "identifier": "LIC NO. 014640",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fernanda Gonzalez, DMD
• Guadalupe Gonzalez
• Michelle Yvette Gonzalez, P.T.
• Jacqueline Heredia Gracia, M.D.
• Melinda Dolores Grijalva, CPNP
• Ana Luisa Guardiola, AFNP
• Yvette Ayla Guerra
• Guillermo Urueta Pediatrics PA
• Landy Gurwell, PA-C
• Brenda Gutierrez Leija

• Community/Behavioral Health Agency in Eagle Pass, TX
• Providers in Eagle Pass, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.