Active NPI
Guardian Angel Home Care Inc.
- Home Health Agency
- Ventura, CA
National Provider Identifier
1992149454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GUARDIAN ANGEL HOME CARE INC.
- Practice address
- 2590 E Main St Ste 101
Ventura, CA 93003-2619 - Phone
- (805) 644-4862
- Fax
- (805) 644-4980
- NPI assigned
- Apr 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sam D Kassab
- Title
- Ceo/President
- Phone
- (248) 293-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2590 E Main St Ste 101
Ventura, CA 93003-2619
Mailing address
1715 Northfield Drive
Rochester Hills, MI 48309-3819
Phone (248) 293-2400
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557705600000",
"number": "1992149454",
"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": "248-293-2400",
"fax_number": "248-293-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2590 E MAIN ST STE 101",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032619",
"telephone_number": "805-644-4862",
"fax_number": "805-644-4980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN ANGEL HOME CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-26",
"last_updated": "2019-05-13",
"status": "A",
"authorized_official_last_name": "KASSAB",
"authorized_official_first_name": "SAM",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"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": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.