# GUARDIAN ANGEL HOME CARE OF SANTA ANA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316585847
- **Authorized official:** SAM D KASSAB (CEO)
- **Authorized official phone:** (248) 293-2400

## Contact information

- **Practice address:** 2030 E 4TH ST \# 132, SANTA ANA, CA 92705-3940
- **Practice address phone:** (714) 542-7700
- **Practice address fax:** (714) 542-8800
- **Mailing address:** 1715 NORTHFIELD DR, ROCHESTER HILLS, MI 48309-3819
- **Mailing address phone:** (248) 293-2400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/16/2019
- **Last updated:** 04/20/2020