Organization
GUARDIAN ANGEL HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM D. KASSAB (CEO)
(248) 293-2400
Entity
Organization
Contact information
Practice address
1715 NORTHFIELD DRIVE, ROCHESTER HILLS, MI 48309-3819
(248) 293-2400
(248) 293-2401
Mailing address
1715 NORTHFIELD DRIVE, ROCHESTER HILLS, MI 48309-3819
(248) 293-2400
(248) 293-2401
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008126
MIDWEST HEALTH PLAN
MI
01
—
11144
CAPE HEALTH PLAN
MI
01
—
31650
HEALTH PLAN OF MICHIGAN
MI
05
—
3339883
—
MI
01
—
OE897
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/03/2005
Last updated
08/26/2015
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