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GUARDIAN ANGEL HOME CARE INC. NPI 1588651798


NPI Information

NPI: 1588651798
Provider Name: GUARDIAN ANGEL HOME CARE, INC.
Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 23D1099615

Address:
1715 NORTHFIELD DRIVE
ROCHESTER HILLS, MI
ZIP 48309
Phone: (248) 293-2400
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GUARDIAN ANGEL HOME CARE, INC. is a home health in Rochester Hills, MI. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. GUARDIAN ANGEL HOME CARE, INC. NPI is 1588651798. The provider is registered as an organization entity type.

The provider's business location address is:

1715 NORTHFIELD DRIVE
ROCHESTER HILLS, MI
ZIP 48309-819
Phone: (248) 293-2400
Fax: (248) 293-2401

The provider's authorized official is Sam D. Kassab .
The authorized official title is Ceo and has the following contact phone number (248) 293-2400.

The CLIA number assigned to this NPI record is 23D1099615 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2005 and was last updated on 8/26/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthMICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
131650OTHERMICHIGANHEALTH PLAN OF MICHIGAN
2OE897OTHERMICHIGANBLUE CROSS BLUE SHIELD
311144OTHERMICHIGANCAPE HEALTH PLAN
4008126OTHERMICHIGANMIDWEST HEALTH PLAN
53339883MEDICAIDMICHIGAN
623-7417MEDICARE UPIN
7237417MEDICARE OSCAR/CERTIFICATIONMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.