MEDICARE: GUARDIAN ANGELS CARE SERVICES INC

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	3747P1801X	Personal Care Attendant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346676202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUARDIAN ANGELS CARE SERVICES INC

Provider Business Mailing Address
First Line	:	212 PECAN PARK AVE STE B
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71303-3364
Country	:	US
Telephone Number	:	318-443-5600
Fax Number	:	318-443-5060

Provider Business Practice Location Address
First Line	:	212 PECAN PARK AVE STE B
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71303-3364
Country	:	US
Telephone Number	:	318-443-5600
Fax Number	:	318-443-5060

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DONNA STRONG
Credential	:
Telephone Number	:	318-443-5600

Provider Enumeration Date	:	09/23/2013
Last Update Date	:	09/23/2024

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