Provider Demographics
NPI:1881461879
Name:AMERICAN GUARDIAN ANGELS SERVICES LLC
Entity type:Organization
Organization Name:AMERICAN GUARDIAN ANGELS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:FRIMPONG
Authorized Official - Last Name:AMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-732-3582
Mailing Address - Street 1:4621 IMPATIENS CT N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-1664
Mailing Address - Country:US
Mailing Address - Phone:651-666-5556
Mailing Address - Fax:763-208-9574
Practice Address - Street 1:4621 IMPATIENS CT N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-1664
Practice Address - Country:US
Practice Address - Phone:651-666-5556
Practice Address - Fax:763-208-9574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care