Provider Demographics
NPI:1801526918
Name:GUARDIAN ANGELS HOME CARE AGENCY INC
Entity type:Organization
Organization Name:GUARDIAN ANGELS HOME CARE AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-221-3821
Mailing Address - Street 1:2424 E SOUTH BLVD STE L
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-2547
Mailing Address - Country:US
Mailing Address - Phone:910-734-1449
Mailing Address - Fax:678-401-0228
Practice Address - Street 1:2424 E SOUTH BLVD STE L
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-2547
Practice Address - Country:US
Practice Address - Phone:910-734-1449
Practice Address - Fax:678-401-0228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-13
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty