Healthcare Provider Details

I. General information

NPI: 1437499092
Provider Name (Legal Business Name): OUR GUARDIAN ANGELS HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2013
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 WASHINGTONIA DR
LAREDO TX
78045-5131
US

IV. Provider business mailing address

105 WASHINGTONIA DR
LAREDO TX
78045-5131
US

V. Phone/Fax

Practice location:
  • Phone: 956-235-7158
  • Fax: 956-602-1157
Mailing address:
  • Phone: 956-235-7158
  • Fax: 956-602-1157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: PRISCILLA CARDENAS
Title or Position: ADMINISTRATOR
Credential:
Phone: 956-235-7158