Provider Demographics
NPI:1033472493
Name:GUARDIAN ANGELS HOME CARE AND STAFFING SERVICES
Entity Type:Organization
Organization Name:GUARDIAN ANGELS HOME CARE AND STAFFING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARONDA
Authorized Official - Middle Name:JEANAE
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:901-485-1487
Mailing Address - Street 1:1991 S BEND DR
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-5451
Mailing Address - Country:US
Mailing Address - Phone:901-485-1487
Mailing Address - Fax:
Practice Address - Street 1:1991 S BEND DR
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-5451
Practice Address - Country:US
Practice Address - Phone:901-485-1487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services