GUARDIAN ANGEL HOME CARE OF SANTA ROSA (NPI# 1194361592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194361592 |
| Entity Type | Organization |
| Organization Name | GUARDIAN ANGEL HOME CARE OF SANTA ROSA |
| Practice Address |
320 College Ave Ste 230 Santa Rosa CA 95401-5144 |
| Mailing Address |
1715 Northfield Dr Rochester Hills MI 48309-3819 |
| Practice Telephone | 7075265210 |
| Practice Fax Number | 7075265211 |
| Mailing Telephone | 2482932400 |
| Mailing Fax Number | 2482932401 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| 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 |
320 COLLEGE AVE STE 230 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-5144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| 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 |
|---|---|---|---|---|
| 1356978720 | Sonoma In-home Aides, LLC | Home Health | 4226 Mount Taylor Dr, Santa Rosa, CA 95404-6220 | 2020-03-25 |
| 1386104669 | The Lakes Home Health Services, Inc. | Home Health | 2435 Professional Dr Ste A, Santa Rosa, CA 95403-3017 | 2019-03-22 |
| 1639642747 | Lonestar Home Health Care Services, LLC | Home Health | 422 Arroyo Ave, Santa Rosa, TX 78593-9700 | 2019-01-10 |
| 1417463365 | Wine Country Home Care | Home Health | 4927 Sonoma Hwy Ste D1, Santa Rosa, CA 95409-4265 | 2017-12-14 |
| 1700301124 | Prohealth Home Care Inc | Home Health | 1450 Neotomas Ave Ste 130a, Santa Rosa, CA 95405-7575 | 2017-08-07 |
| 1023530359 | The Good Samaritan Hospice of St. Joseph | Home Health | 2308 Cotton Ct, Santa Rosa, CA 95401-7800 | 2017-07-07 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| 1063879021 | Bana Solomon | Home Health | 3742 Hillary Ct, Santa Rosa, CA 95403-1589 | 2016-01-21 |
| 1104204106 | Guardian Angel Home Care, Inc. | Home Health | 320 College Ave, Suite 230, Santa Rosa, CA 95401-5145 | 2015-05-11 |
| 1629464482 | The Annadel Group | Home Health | 4804 Westminster Pl, Santa Rosa, CA 95405-7922 | 2015-04-08 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on GUARDIAN ANGEL HOME CARE OF SANTA ROSA.
| 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.