NPIMap

Organization Active NPI

Guardian Angels Professional Services

  • Home Health Agency
  • Marion, SC
National Provider Identifier
1962927418
Registry record updated Aug 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2017-160736 Issued in SC
Legal business name
GUARDIAN ANGELS PROFESSIONAL SERVICES
Practice address
2614 E Highway 76 Ste E
Marion, SC 29571-6336
Phone
(843) 446-8811
Fax
(843) 446-8811
NPI assigned
Aug 6, 2017
Last updated
Aug 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2017

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

Authorized official

Name
Ms. Patricia Montgomery, RN, MSN, CRRNNPI 1699547810
Title
Owner
Phone
(843) 503-1209

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2017-160736 SC Primary

Addresses

Primary practice location

2614 E Highway 76 Ste E
Marion, SC 29571-6336

Mailing address

PO Box 1471
Marion, SC 29571-1471

National Provider Directory

National Provider Directory

Locations

2614 E Highway 76
Ste E
Marion, SC 29571
Phone (843) 446-8811

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": "1501977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501977600000",
    "number": "1962927418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1471",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295711471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 E HIGHWAY 76 STE E",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295716336",
            "telephone_number": "843-446-8811",
            "fax_number": "843-446-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGELS PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-06",
        "last_updated": "2017-08-06",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-503-1209",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MSN, CRRN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "2017-160736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2017; 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.