Provider Demographics
NPI:1003442229
Name:GUARDIAN ANGELS ADULT CARE SERVICES
Entity Type:Organization
Organization Name:GUARDIAN ANGELS ADULT CARE SERVICES
Other - Org Name:GUARDIAN ANGELS ADULT CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-717-8460
Mailing Address - Street 1:3114 SCOTTY DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762-2571
Mailing Address - Country:US
Mailing Address - Phone:620-717-8460
Mailing Address - Fax:
Practice Address - Street 1:717 S CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-4935
Practice Address - Country:US
Practice Address - Phone:620-717-8460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-19
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services