Provider Demographics
NPI:1871879361
Name:GUARDIAN ANGEL HOME HEALTH, INC.
Entity type:Organization
Organization Name:GUARDIAN ANGEL HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AKOP
Authorized Official - Middle Name:
Authorized Official - Last Name:GAVGAVYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-559-2300
Mailing Address - Street 1:717 S VICTORY BLVD SUITE A
Mailing Address - Street 2:SUITE B
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502
Mailing Address - Country:US
Mailing Address - Phone:818-559-2300
Mailing Address - Fax:818-559-2310
Practice Address - Street 1:717 S VICTORY BLVD SUITE A
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-2214
Practice Address - Country:US
Practice Address - Phone:818-559-2300
Practice Address - Fax:818-559-2310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-27
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health