# GUARDIAN ANGEL HOME CARE, INC.

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

## Provider details

- **NPI number:** 1447296447
- **Authorized official:** MR. SAM D. KASSAB (CEO)
- **Authorized official phone:** (248) 293-2400

## Contact information

- **Practice address:** 1420 RENAISSANCE DR STE 215, PARK RIDGE, IL 60068-1342
- **Practice address phone:** (847) 674-2711
- **Practice address fax:** (847) 795-3441
- **Mailing address:** 1715 NORTHFIELD DR, ROCHESTER HILLS, MI 48309-3819
- **Mailing address phone:** (248) 293-2400
- **Mailing address fax:** (248) 293-2401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | \#1886424 | IL | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 08/18/2015