CCN: 053101 NPI: 1194361592 Organization

Guardian Angel Home Care of Santa Rosa, LLC

100 STONY POINT SUITE 265
SANTA ROSA, CA 954015415

Contact Information

Phone 7075265210
Fax 7075265211
Enumeration Date 2019-11-20
Last Updated 2025-04-03

Taxonomies

Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 42220

providerType 36

censusDivision 4

cbsaActualGeographicLocation 42220

providerType 36

censusDivision 4

cbsaActualGeographicLocation 42220

providerType 36

censusDivision 4

cbsaActualGeographicLocation 42220

providerType 36

censusDivision 4

cbsaActualGeographicLocation 42220

providerType 36

censusDivision 4

cbsaActualGeographicLocation 42220

providerType 36

censusDivision 4

cbsaActualGeographicLocation 42220

providerType 36

censusDivision 4

cbsaActualGeographicLocation 42220

providerType 36

censusDivision 4

cbsaActualGeographicLocation 42220

providerType 36

censusDivision 4

cbsaActualGeographicLocation 42220

providerType 36

censusDivision 4

cbsaActualGeographicLocation 42220

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 42220

providerType 36

specialPaymentIndicator

carrierCode 01112

localityCode 67

Guardian Angel Home Care of Santa Rosa, LLC

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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