Provider Demographics
NPI:1598469249
Name:GUARDIAN ANGELS NURSING CARE LLC
Entity Type:Organization
Organization Name:GUARDIAN ANGELS NURSING CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMIN/DON/CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:904-322-2117
Mailing Address - Street 1:50 N LAURA ST STE 2502
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32202-3664
Mailing Address - Country:US
Mailing Address - Phone:904-322-2117
Mailing Address - Fax:
Practice Address - Street 1:50 N LAURA ST STE 2502
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32202-3664
Practice Address - Country:US
Practice Address - Phone:904-322-2117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health