Healthcare Provider Details
I. General information
NPI: 1609312305
Provider Name (Legal Business Name): GUARDIAN ANGEL HEALTH AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/18/2017
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
639 S HAMILTON RD
WHITEHALL OH
43213-3176
US
IV. Provider business mailing address
639 S HAMILTON RD
WHITEHALL OH
43213-3176
US
V. Phone/Fax
- Phone: 614-218-8401
- Fax:
- Phone: 614-218-8401
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | OH |
VIII. Authorized Official
Name: DR.
THOMAS
M
KAMAU
Title or Position: CEO
Credential: PH.D
Phone: 614-316-7421