Organization
GUARDIAN ANGEL HOME HEALTH INC
Active
Other names
Guardian Angel Home Health, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CHINYERE LOIS OTUYA (OWNER)
(703) 504-8322
Entity
Organization
Contact information
Practice address
5680 KING CENTRE DR STE 600, ALEXANDRIA, VA 22315-5755
(703) 519-1255
(703) 454-0722
Mailing address
5680 KING CENTRE DR STE 600, ALEXANDRIA, VA 22315-5755
(703) 519-1255
(703) 454-0722
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO151190
VA
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016315562
—
VA
01
—
HCO-211168
VIRGINIA DEPARTMENT OF HEALTH
VA
Enumeration date
09/04/2014
Last updated
09/10/2021
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