1679521793 NPI number — GUARDIAN ANGEL CARE HOME HEALTH SERVICES INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679521793 NPI number — GUARDIAN ANGEL CARE HOME HEALTH SERVICES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GUARDIAN ANGEL CARE HOME HEALTH SERVICES INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679521793
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/21/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2200 NORTH LOOP W
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77018-8009
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-691-6777
Provider Business Mailing Address Fax Number:
713-691-6888

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2200 NORTH LOOP W
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77018-8009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-691-6777
Provider Business Practice Location Address Fax Number:
713-691-6888
Provider Enumeration Date:
05/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RODRIGUEZ
Authorized Official First Name:
MARIO
Authorized Official Middle Name:
ALFONSO
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
713-691-6777

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  11783 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com