Healthcare Provider Details

I. General information

NPI: 1740105824
Provider Name (Legal Business Name): GUARDIAN ANGELS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8520 ALLISON POINTE BLVD
INDIANAPOLIS IN
46250-5700
US

IV. Provider business mailing address

4416 WAXWING ST
HOSCHTON GA
30548-5539
US

V. Phone/Fax

Practice location:
  • Phone: 678-691-3625
  • Fax: 470-264-1035
Mailing address:
  • Phone: 770-789-5307
  • Fax: 470-264-1035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY N EXPOSE'
Title or Position: CEO
Credential:
Phone: 404-406-1129