GUARDIAN ANGEL CAREGIVERS LLC (NPI# 1770149411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770149411 |
| Entity Type | Organization |
| Organization Name | GUARDIAN ANGEL CAREGIVERS LLC |
| Practice Address |
11022 Se Lenore St Happy Valley OR 97086-8790 |
| Mailing Address |
Po Box 33726 Portland OR 97292-3726 |
| Practice Telephone | 5036982020 |
| Practice Fax Number | 5039269303 |
| Mailing Telephone | 5036982020 |
| Mailing Fax Number | 5039269303 |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |
| Authorized Official Name | STEVEN MILLER (PRESIDENT) |
| Authorized Official Telephone | 5036982020 |
| Authorized Official Credential | CSA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | STATE LICENSE | 15-2251 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | GUARDIAN ANGEL CAREGIVERS LLC | 301 S. 675 E., Lafayette, IN 47905 |
| Street Address |
11022 SE LENORE ST |
| City | HAPPY VALLEY |
| State | OR |
| Zip Code | 97086-8790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023492931 | Steven Miller | Contractor | 11022 Se Lenore St, Happy Valley, OR 97086-8790 | 2015-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063803674 | Brandy Lynn Sajovic | Case Manager/Care Coordinator | 10822 Se 82nd Ave., Suite K, Happy Valley, OR 97086 | 2015-02-18 |
| 1851795561 | Tyler Lundquist | Chiropractor | 16144 Se Happy Valley Town Center Dr #214, Happy Valley, OR 97086 | 2014-10-09 |
| 1184040644 | Rui O'reilly | Massage Therapist | 10911 Se Alyssa Dr, Happy Valley, OR 97086 | 2014-03-07 |
| 1083036990 | Laura Dillard | Registered Nurse | 10822 Se 82nd Ave, Happy Valley, OR 97086 | 2014-01-11 |
| 1699027672 | Clackamas Town Dental, LLC | Dentist | 9225 Se Sunnyside Road, Clackamas, OR 97086 | 2012-10-15 |
| 1750639233 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 11800 Se 82nd Avenue, Happy Valley, OR 97086 | 2012-08-15 |
| 1962641654 | Mt Scott Vision and Ocular Imaging Center PC | Optometrist | 9300 Ne 91st Ave, Suite 100, Happy Valley, OR 97086 | 2009-02-19 |
| 1598916546 | Cynthia Sue Weaver | Nurse Practitioner | 9300 Se 91 Ave., Suite 400, Portland, OR 97086 | 2008-10-08 |
| 1396928776 | Cary Ann Fardal | Dietitian, Registered | 13444 Se Piper Dr, Happy Valley, OR 97086 | 2007-12-09 |
| 1689873242 | New Seasons Market - Happy Valley | Pharmacy | 15861 Se Happy Valley Town Center Dr., Happy Valley, OR 97086 | 2007-07-13 |
| Find all providers in zip 97086 | ||||
| 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 |
|---|---|---|---|---|
| 1467933176 | Hilltop View Inc | Home Health | 14590 Se Vista Heights St, Happy Valley, OR 97086-4237 | 2018-08-22 |
| 1164973574 | Unified Solutions Group | Home Health | 10925 Se Tyler Rd, Happy Valley, OR 97086-6930 | 2016-10-20 |
| 1952480691 | Generations Home Health Agency | Home Health | 8601 Se Causey Ave, Suite 3, Happy Valley, OR 97086-9755 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215548508 | Helen Lacsina Greer | Home Health | 248 Elma Ave Se, Salem, OR 97317-5464 | 2020-08-11 |
| 1760092167 | Charlotte Kreftmeyer | Home Health | 661 Skyhawk Dr, Ontario, OR 97914-3143 | 2020-07-31 |
| 1275156929 | Amy Marie Mathis | Home Health | 1787 Easy St, Medford, OR 97504-5325 | 2020-05-28 |
| 1841810256 | Destiny Robin Thomas | Home Health | 2544 Ne Clackamas St, Portland, OR 97232-1727 | 2020-04-26 |
| 1912533506 | Lucas Home Care, LLC | Home Health | 230 Se 3rd St # 100, Bend, OR 97702-9949 | 2020-03-16 |
| 1700421682 | Janelle S Foote | Home Health | 36540 Highway 140, Beatty, OR 97621-9706 | 2019-11-14 |
| 1972154441 | For The People LLC | Home Health | 10700 Sw Beaverton Hillsdale Hwy Ste 4709, Beaverton, OR 97005-3019 | 2019-09-25 |
| 1093363426 | Apex Health and Wellness | Home Health | 436 N Laurel St, Ashland, OR 97520-1113 | 2019-08-28 |
| 1962056341 | Cascade Specialized Nursing, LLC. | Home Health | 20831 Se Firwood Rd, Sandy, OR 97055-9487 | 2019-07-24 |
| 1528620887 | Chareese R Borland | Home Health | 2240 Nolan Ln, West Linn, OR 97068-4243 | 2019-07-07 |
| Find all providers with the same taxonomy | ||||
| City | HAPPY VALLEY |
| Zip Code | 97086 |
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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.