GUARDIAN ANGEL HOME CARE, INC. (NPI# 1700962669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700962669 |
| Entity Type | Organization |
| Organization Name | GUARDIAN ANGEL HOME CARE, INC. |
| Practice Address |
3275 Ali Baba Lane, Suite 506 Las Vegas NV 89118-1774 |
| Mailing Address |
1715 Northfield Drive Rochester Hills MI 48309-3819 |
| Practice Telephone | 7024501855 |
| Practice Fax Number | 7024501854 |
| Mailing Telephone | 2482932400 |
| Mailing Fax Number | 2482932401 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2015-08-18 |
| Authorized Official Name | MR. SAM D. KASSAB (CEO) |
| Authorized Official Telephone | 2482932400 |
| Authorized Official Credential | CEO/PRESIDENT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | NV | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104204106 | Guardian Angel Home Care, Inc. | Home Health | 320 College Ave, Suite 230, Santa Rosa, CA 95401-5145 | 2015-05-11 |
| 1215315429 | Guardian Angel Home Care, Inc. | Home Health | 1451 River Park Drive Suite 225, Sacramento, CA 95815-4507 | 2015-05-08 |
| 1720475809 | Guardian Angel Home Care, Inc. | Home Health | 5001 E Commercecenter Dr Ste 240, Bakersfield, CA 93309-1688 | 2015-04-16 |
| 1992104947 | Guardian Angel Home Care, Inc. | Hospice Care, Community Based | 647 E E St Ste 106, Ontario, CA 91764-4200 | 2014-08-15 |
| 1265876759 | Guardian Angel Home Care, Inc. | Home Health | 41865 Boardwalk, Suite 215, Palm Desert, CA 92211 | 2013-04-26 |
| 1346593480 | Guardian Angel Home Care, Inc. | Hospice Care, Community Based | 3641 South Arlington Road, Akron, OH 44319-2044 | 2012-10-25 |
| 1538482633 | Guardian Angel Home Care, Inc. | Home Health | 2030 E. 4th Street, Suite 132, Santa Ana, CA 92705-3940 | 2010-03-04 |
| 1326298910 | Guardian Angel Home Care, Inc. | Home Health | 4700 Ashwood Dr, Cincinnati, OH 45241-2465 | 2008-09-19 |
| 1821247412 | Guardian Angel Home Care, Inc. | Home Health | 5800 Monroe Street, Bldg. E, Unit 2, Sylvania, OH 43560-2263 | 2008-09-18 |
| 1497917041 | Guardian Angel Home Care, Inc. | Home Health | 10000 N. 31st Avenue, Suite B111, Phoenix, AZ 85051-0907 | 2008-06-25 |
| Street Address |
3275 ALI BABA LANE, SUITE 506 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89118-1774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720568520 | Kurt Yaross | Behavioral Analyst | 7138 W Post Rd, #208, Las Vegas, NV 89118 | 2018-08-21 |
| 1619457108 | Michelle Herzberg | Behavioral Analyst | 7318 W Post Rd #280, Las Vegas, NV 89118 | 2018-08-15 |
| 1548749385 | Keisha Bere-ruiz | Behavioral Analyst | 7318 W Post Rd #208, Las Vegas, NV 89118 | 2018-08-13 |
| 1295222081 | Aliantcare | Radiologic Technologist | 5490 S Rainbow Blvd, Suite 400 N34835, Las Vegas, NV 89118 | 2018-04-17 |
| 1710406467 | Anoush H. Tacvorian Do LLC | Clinic/Center | 6525 W. Warm Springs Rd, Suite 100, Las Vegas, NV 89118 | 2017-09-13 |
| 1962920470 | Harvard Medtech, LLC | Durable Medical Equipment & Medical Supplies | 6280 S. Valley View Blvd, Suite 412, Las Vegas, NV 89118 | 2017-09-05 |
| 1750827903 | Kerry Cutler | Nurse Practitioner | 6020 South Rainbow Blvd, Suite C, Las Vegas, NV 89118 | 2017-01-12 |
| 1184173015 | Girisgen & Kopolow Od PC | Optometrist | 7090 S Rainbow Blvd, Ste 100, Las Veegas, NV 89118 | 2016-10-04 |
| 1396117859 | Foundation for Positively Kids | Clinic/Center | 3555 E Reno, Ste F, Las Vegas, NV 89118 | 2015-10-23 |
| 1720492663 | Kiet Michael Lam | Chiropractor | 5693 S. Jones Bvld, Ste 116, Las Vegas, NV 89118 | 2014-06-18 |
| Find all providers in zip 89118 | ||||
| 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 |
|---|---|---|---|---|
| 1407457542 | Maria Isabel Bedolla | Home Health | 5402 S Sir Richard Dr, Las Vegas, NV 89110-4863 | 2020-11-05 |
| 1083212013 | Talya Fritz | Home Health | 10220 Delray Beach Ave Unit 203, Las Vegas, NV 89129-1058 | 2020-10-12 |
| 1174121305 | Pena Francia Home Health Care LLC | Home Health | 2235 E Flamingo Rd Ste 220, Las Vegas, NV 89119-0807 | 2020-10-10 |
| 1467050773 | Real Community Home Health LLC | Home Health | 4660 S Eastern Ave Ste 205, Las Vegas, NV 89119-6139 | 2020-10-09 |
| 1114524311 | Creek View Home Health LLC | Home Health | 2950 E Flamingo Rd Ste H, Las Vegas, NV 89121-5208 | 2020-10-01 |
| 1164038196 | Tammy E Smith | Home Health | 1500 Karen Ave, 65, Las Vegas, NV 89169 | 2020-09-16 |
| 1326653908 | Annjo's Home Health Care Inc | Home Health | 3430 E Flamingo Rd Ste 107a, Las Vegas, NV 89121-5003 | 2020-09-10 |
| 1164036968 | My Family Home Health LLC | Home Health | 830 E Sahara Ave, Las Vegas, NV 89104-3009 | 2020-08-31 |
| 1023620333 | 1st Choice Care LLC | Home Health | 6865 Sigri St, Las Vegas, NV 89166-7016 | 2020-08-18 |
| 1114544566 | Gamaliel Digan | Home Health | 3100 E Charleston Blvd Ste 113, Las Vegas, NV 89104-6666 | 2020-07-01 |
| Find all providers in LAS VEGAS | ||||
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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.