Provider Demographics
NPI:1902796394
Name:GUARDIAN ANGELS HOME CARE LLC
Entity type:Organization
Organization Name:GUARDIAN ANGELS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:NAIKIA
Authorized Official - Last Name:EXPOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-789-5307
Mailing Address - Street 1:327 DAHLONEGA ST STE 303
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-2480
Mailing Address - Country:US
Mailing Address - Phone:678-691-3625
Mailing Address - Fax:470-264-1035
Practice Address - Street 1:327 DAHLONEGA ST STE 303
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-2480
Practice Address - Country:US
Practice Address - Phone:678-691-3625
Practice Address - Fax:470-264-1035
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GUARDIAN ANGELS HOME CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care