Guardian Angels Private Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GUARDIAN ANGELS PRIVATE HOMECARE LLC

Practice address

207 Kite Lake Rd
Fayetteville, GA 30214-9608

Phone

(770) 666-4401

NPI assigned

Oct 20, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Brittaney Shonteria Hester

Title

Administrator

Phone

(770) 666-4401

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1912282039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 KITE LAKE RD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302149608",
            "telephone_number": "770-666-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 KITE LAKE RD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302149608",
            "telephone_number": "770-666-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGELS PRIVATE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "BRITTANEY",
        "authorized_official_middle_name": "SHONTERIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-666-4401",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cailla Grizzle
• Edward Scott Gronka, M.D.
• David M Gryboski, M.D.
• Faith Louise Guadalupe, LCSW
• Guardian Angels Adult Living LLC
• Guardian Medical Transport LLC (Guardian Medical Transport)
• Lila Guevara, DMD
• Guiding Care Services, LLC
• Ashlee Gullickson, M.A,CCC-SLP
• Danielle Beaulah Guthrie, FNP

• Home Health Agency in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.