NPIMap

Organization Active NPI

Guardian Angel Home Health Care ,Inc

  • In Home Supportive Care Agency
  • Raytown, MO
National Provider Identifier
1871899450
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GUARDIAN ANGEL HOME HEALTH CARE ,INC
Practice address
6029 Raytown Rd
Raytown, MO 64133-3909
Phone
(314) 629-2750
Fax
(816) 737-3090
NPI assigned
Jan 31, 2011
Last updated
Jul 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Chikere NwagbaraNPI 1699381046
Title
Office Manager
Phone
(314) 629-2750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Nursing Care Agency 251J00000X NU
Health Service Clinic/Center 261QH0100X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

6029 Raytown Rd
Raytown, MO 64133-3909

Mailing address

6029 Raytown Rd
Raytown, MO 64133-3909
Phone (314) 629-2750

Other identifiers 2

IdentifierTypeStateIssuer
286342803MedicaidMO
266342807MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CARECENTA Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

6029 Raytown Rd
Raytown, MO 64133
Phone (314) 629-2750

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1871899450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6029 RAYTOWN RD",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641333909",
            "telephone_number": "314-629-2750",
            "fax_number": "816-737-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 RAYTOWN RD",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641333909",
            "telephone_number": "314-629-2750",
            "fax_number": "816-737-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HOME HEALTH CARE ,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "NWAGBARA",
        "authorized_official_first_name": "CHIKERE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-629-2750"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286342803",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266342807",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CARECENTA",
            "affiliation": "N",
            "endpointDescription": "CARECENTA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6029 Raytown Rd",
            "city": "Raytown",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641333909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raytown, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.