| Organization Name: | GUARDIAN ANGELS HOMECARE LLC |
| NPI Number: | 1467747634 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY EUGENE O'BRYAN (OWNER) |
| Mailing Address: | 4400 Washington Ave # 303 Evansville |
| State: | IN US |
| Postal Code: | 477140887 |
| Phone Number: | 2704858663 |
| Fax Number: | 2709267021 |
| NPI Enumeration Date: | 06/15/2011 |
| NPI Last Update Date: | 06/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 500126 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |