Guardian Angel Home Care Of Grand Rapids
Home Health in Grandville, MI. Organization (NPI-2).
NPI number1659916633
StatusActive
Last updated in NPPESJan 6, 2022
Details
- NPI
- 1659916633
- Entity type
- Organization (NPI-2)
- Legal business name
- Guardian Angel Home Care Of Grand Rapids
- Organization subpart
- No
- Enumeration date
- Nov 13, 2019
- Certification date
- Jan 6, 2022
- Last updated
- Jan 6, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - HOME HEALTH AGENCY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
2905 Wilson Ave Sw Ste 202Grandville, MI 49418-1287
Phone 616-361-3940 · Fax 616-361-3946
Mailing address
1715 Northfield DrRochester Hills, MI 48309-3819
Phone 248-293-2400 · Fax 248-293-2401
Authorized official
Sam D Kassab
Ceo
2482932400
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 8 Home Health Agency providers in Grandville · All 949 providers in Grandville
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