GUARDIAN ANGEL HOME CARE OF SAN JOSE (NPI# 1023653011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023653011 |
| Entity Type | Organization |
| Organization Name | GUARDIAN ANGEL HOME CARE OF SAN JOSE |
| Practice Address |
1885 The Alameda Ste 208 San Jose CA 95126-1747 |
| Mailing Address |
1715 Northfield Dr Rochester Hills MI 48309-3819 |
| Practice Telephone | 4082611120 |
| Practice Fax Number | 4082602413 |
| Mailing Telephone | 2482932400 |
| Mailing Fax Number | 2482932401 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |
| Authorized Official Name | SAM D KASSAB (CEO) |
| Authorized Official Telephone | 2482932400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
1885 THE ALAMEDA STE 208 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95126-1747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
| 1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
| 1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
| 1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
| 1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
| 1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
| 1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
| Find all providers in zip 95126 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902415540 | World Trekker LLC | Home Health | 2756 White Acres Drive, San Jose, CA 95148 | 2020-07-29 |
| 1417584277 | Apple Home Health LLC | Home Health | 1570 Theo Dr, San Jose, CA 95131-2465 | 2020-03-23 |
| 1861056962 | Blanca Gloria Avila | Home Health | 1522 Hillsdale Ave, San Jose, CA 95118-1037 | 2019-04-24 |
| 1699238782 | Preserve Healthcare Services LLC | Home Health | 1633 Alum Rock Ave, San Jose, CA 95116-2430 | 2019-04-07 |
| 1437616000 | Home Connect Home Health LLC | Home Health | 1573 Sawleaf Ct, San Jose, CA 95131-2556 | 2019-03-01 |
| 1841756905 | Unihealth Home Care, Inc. | Home Health | 2670 S White Rd Ste 262, San Jose, CA 95148-2086 | 2019-02-13 |
| 1720530009 | Best Choice Home Health Care, Inc. | Home Health | 2230 Will Wool Dr Ste 103, San Jose, CA 95112-2605 | 2016-11-02 |
| 1609321108 | Emmanuel Healthcare South Bay, Inc. | Home Health | 800 Charcot Ave, Ste 113, San Jose, CA 95131-2211 | 2016-08-24 |
| 1740734318 | Home Helpers and Direct Link #58851 | Home Health | 97 S 2nd St Ste 100, San Jose, CA 95113-2512 | 2016-08-11 |
| 1023561461 | Lifeline Home Health Care LLC | Home Health | 5487 Don Manrico Ct, San Jose, CA 95123-3123 | 2016-08-02 |
| Find all providers in SAN JOSE | ||||
Please comment or provide details below to improve the information on GUARDIAN ANGEL HOME CARE OF SAN JOSE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.