MEDICARE: DEL NORTE HOME CARE LLC DBA GUARDIAN ANGEL HOME HEALTHCARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	002386	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	011677	OTHER	TX	TEXAS HEALTH AND HUMAN SERVICES COMMISSION
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265450993
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEL NORTE HOME CARE LLC DBA GUARDIAN ANGEL HOME HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	1537 N ZARAGOZA RD STE 2A
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-8095
Country	:	US
Telephone Number	:	915-594-1116
Fax Number	:	915-849-7825

Provider Business Practice Location Address
First Line	:	1537 N ZARAGOZA RD STE 2A
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-8095
Country	:	US
Telephone Number	:	915-594-1116
Fax Number	:	915-849-7825

Authorized Official
Title or Position	:	CEO CFO
Name	:	DR. MARGARET C IKE
Credential	:	MD/ BSN
Telephone Number	:	915-594-1116

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	10/28/2021

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