Guardian Angel Home Health Agency, Inc.

LBN: Guardian Angel Home Health Agency, Inc.
Guardian Angel Home Health Agency, Inc. is an health care organization with primary practice located at 980 Enchanted Way Ste 206 , Simi Valley CA 93065-0913. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Guardian Angel Home Health Agency, Inc. can be contacted via phone (805) 581-0244, or through Ponomarenko, Oleg via phone (805) 581-0244.

Contact Information

Primary practice address
980 Enchanted Way Ste 206 Simi Valley CA 93065-0913
Phone: (805) 581-0244
Fax: (805) 581-0286
Website:
Map and Directions
Authorized official contact:
Name: Ponomarenko, Oleg
Phone: (805) 581-0244

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 050000588 California

Profile Details

NPI number 1154381267
LBN Legal business name Guardian Angel Home Health Agency, Inc.
DBA Doing business as
Authorized official Ponomarenko, Oleg
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2006
Last updated Nov 7th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154381267 NPPES
California MEDICAID HHA08299F

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