Healthcare Provider Details

I. General information

NPI: 1346182250
Provider Name (Legal Business Name): GUARDIAN ANGEL HOME CARE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1740 GRANDE BLVD SE # B3
RIO RANCHO NM
87124-1799
US

IV. Provider business mailing address

1740 GRANDE BLVD SE # B3
RIO RANCHO NM
87124-1799
US

V. Phone/Fax

Practice location:
  • Phone: 505-384-7788
  • Fax: 505-503-4481
Mailing address:
  • Phone: 505-384-7788
  • Fax: 505-503-4481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MEESH LOVE
Title or Position: ADMINISTRATOR/OPERATIONS
Credential:
Phone: 505-384-7788