Provider Demographics
NPI:1861824575
Name:NURSES PLUS GUARDIAN ANGELS, LLC
Entity Type:Organization
Organization Name:NURSES PLUS GUARDIAN ANGELS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-956-1227
Mailing Address - Street 1:12211 GA HIGHWAY 42 S
Mailing Address - Street 2:
Mailing Address - City:BYRON
Mailing Address - State:GA
Mailing Address - Zip Code:31008-8158
Mailing Address - Country:US
Mailing Address - Phone:478-956-1227
Mailing Address - Fax:478-956-1816
Practice Address - Street 1:12211 GA HIGHWAY 42 S
Practice Address - Street 2:
Practice Address - City:BYRON
Practice Address - State:GA
Practice Address - Zip Code:31008-8158
Practice Address - Country:US
Practice Address - Phone:478-956-1227
Practice Address - Fax:478-956-1816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA039-R-0007251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health