Guardian Angel Home Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GUARDIAN ANGEL HOME CARE INC.

Practice address

4889 Sinclair Road Suite 109
Columbus, OH 43229-5432

Phone

(614) 297-4757

Fax

(614) 781-1497

NPI assigned

Sep 19, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Sam D Kassab

Title

President/Ceo

Phone

(248) 293-2400

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Guardian Angel Home Care of Columbus

  • Home Health Agency
  • Columbus, OH
  • NPI 1043855034

  Sold to, 2020-04-01

  CMS change of ownership

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1962652529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 NORTHFIELD DRIVE",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093819",
            "telephone_number": "248-293-2418",
            "fax_number": "248-293-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4889 SINCLAIR ROAD SUITE 109",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295432",
            "telephone_number": "614-297-4757",
            "fax_number": "614-781-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "KASSAB",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "248-293-2400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5451846",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3063714",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Gspandl, M.D.
• Anna Elena Guadiz, DO
• Joseluis Guajardo
• Brina Guan
• Stacey Yi Guan, M.D.
• Guardian Angel Home Care of Columbus
• Guardian Angel Home Care, Inc.
• Guardian Angel Home Health Care Angel, LLC
• Guardian Angel Home Health Care LLC
• Guardian Angel Home Health LLC

• Home Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.