Provider Demographics
NPI:1871869586
Name:GUARDIAN ANGEL HOME CAREGIVERS INC.
Entity type:Organization
Organization Name:GUARDIAN ANGEL HOME CAREGIVERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELISHEVA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-440-5456
Mailing Address - Street 1:2503 NW JUANITA PLACE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33993
Mailing Address - Country:US
Mailing Address - Phone:239-440-5456
Mailing Address - Fax:
Practice Address - Street 1:2503 NW JUANITA PLACE
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33993
Practice Address - Country:US
Practice Address - Phone:239-440-5456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care