Organization Active NPI

Guardian Angels of the Upstate,LLC

  • In Home Supportive Care Agency
  • Greenville, SC
National Provider Identifier
1922510262
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GUARDIAN ANGELS OF THE UPSTATE,LLC
Practice address
8 Sycamore Dr Ste B10
Greenville, SC 29607-2965
Phone
(864) 962-3450
NPI assigned
Oct 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Tonya Scott
Title
Ceo
Phone
(864) 412-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

8 Sycamore Dr Ste B10
Greenville, SC 29607-2965

Mailing address

8 Sycamore Dr Ste B10
Greenville, SC 29607-2965
Phone (864) 962-3450

Other identifiers 1

IdentifierTypeStateIssuer
EX1525MedicaidSC

National Provider Directory

National Provider Directory

Locations

8 Sycamore Dr
Ste B10
Greenville, SC 29607
Phone (864) 962-3450

8 Sycamore Dr
Ste B6
Greenville, SC 29607
Phone (864) 203-2599

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1922510262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SYCAMORE DR STE B10",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072965",
            "telephone_number": "864-962-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SYCAMORE DR STE B10",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072965",
            "telephone_number": "864-962-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGELS OF THE UPSTATE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-412-8800"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX1525",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.