GUARDIAN ANGELS HOMECARE, LLC (NPI# 1225640279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225640279 |
| Entity Type | Organization |
| Organization Name | GUARDIAN ANGELS HOMECARE, LLC |
| Practice Address |
1116 Pin Oak Drive Suffolk VA 23434-2343 |
| Mailing Address |
1116 Pin Oak Drive Suffolk VA 23434 |
| Practice Telephone | 6198885114 |
| Mailing Telephone | 6198885114 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | KIM CLOYD (MEMBER) |
| Authorized Official Telephone | 6198885114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Guardian Angels Hoemcare, LLC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912278987 | Guardian Angels Homecare, LLC | Nursing Care | 1335 Old Cape Rd., Suite F, Jackson, MO 63755 | 2012-01-23 |
| Street Address |
1116 PIN OAK DRIVE |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23434-2343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1912561713 | Revivication Counseling Services | Counselor | 814 Cripple Creek Lane, Suffolk, VA 23434 | 2019-04-26 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1730660952 | Latrese L Riddick | Driver | 418 Jackson St, Suffolk, VA 23434 | 2018-08-25 |
| 1114411279 | Percilla D Zeno | Community Health Worker | 102 Niblick Cir, Suffolk, VA 23434 | 2018-06-21 |
| 1437652765 | Aprele Gaddie | Health Educator | 2769 Godwin Boulevard, Suffolk, VA 23434 | 2018-03-13 |
| 1598284283 | Domonic Teheran Scott | Driver | 102 Brewer Ave, Suffolk, VA 23434 | 2017-09-13 |
| 1578089397 | Nakia Shantel Francis | Nurse Practitioner | 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 | 2017-08-15 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1114457736 | Better Care Family Homes | Day Training, Developmentally Disabled Services | 813 West Washington Street, Suffolk, VA 23434 | 2017-06-15 |
| Find all providers in zip 23434 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104484856 | Alpha Omega Adult Home Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3001 Bay Shore Ln, Suffolk, VA 23435-3175 | 2019-05-29 |
| 1003377680 | Unlimited Choices LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 235 Forrest St, Suffolk, VA 23434-4710 | 2019-03-27 |
| 1134638422 | Wilson Home Health Service, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Truman Rd, Suffolk, VA 23434-3634 | 2017-09-29 |
| 1073069399 | Gertrude Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7566 Quaker Dr, Suffolk, VA 23437-8906 | 2016-08-28 |
| 1669558813 | Western Tidewater Community Services Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 130 Suburban Dr, Suffolk, VA 23434-2625 | 2006-10-31 |
| 1275639270 | Better Care Family Homes Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6836 Whaleyville Blvd, Suffolk, VA 23438-9737 | 2006-09-16 |
| 1386687549 | Western Tidewater Community Services Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 404 Finney Ave, Suffolk, VA 23434-3852 | 2006-06-14 |
| 1922041177 | Western Tidewater Community Services Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1406 Blythewood Ln, Suffolk, VA 23434-2804 | 2006-06-14 |
| 1275574402 | Western Tidewater Community Services Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 437 Jackson St, Suffolk, VA 23434-5314 | 2006-06-09 |
| 1083704316 | Warrington Investments | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 424 S Main St, Suffolk, VA 23434-5428 | 2006-10-16 |
| Find all providers in SUFFOLK | ||||
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| 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.