GUARDIAN ANGEL HOME CARE INC.
NPI 1104204106
Home Health in Santa Rosa, CA

Active since May 11, 2015CLIA Certified · 6 labs
3/5
Patient Care Rating
100 STONY POINT SUITE 265, SANTA ROSA, CA 95401(707) 526-5210(707) 526-5211 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Guardian Angel Home Care Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUARDIAN ANGEL HOME CARE INC. (NPI 1104204106) is a healthcare organization registered as a home health in Santa Rosa, California and active in the NPI registry since May 2015. The organization holds 6 active CLIA laboratory certificates and lists Sam D Kassab, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1104204106
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameGUARDIAN ANGEL HOME CARE INC.
Location Address100 STONY POINT SUITE 265Santa Rosa, CA 95401-5415
Mailing Address1715 Northfield Dr.Rochester Hills, MI 48309-3819 · (248) 293-2418 · Fax (248) 293-2401
Fax(707) 526-5211
Organization SubpartNo
Authorized OfficialSam D KassabCeo/president · (248) 293-2400
Enumeration DateMay 11, 2015
Last NPPES UpdateMay 20, 2022
NPPES CertifiedMay 20, 2022
NPI 1104204106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
100 STONY POINT SUITE 265, Santa Rosa, CA 95401

Other Identifiers 1

Medicaid1104204106CA

CLIA Laboratory Certificates CMS CLIA 7

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D1071493

Guardian Angel Home Care Of Las Vegas LLC · Las Vegas, NV
Active · expires Jan 19, 2028
CLIA Number29D1071493
Laboratory TypeHome Health Agency
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorJeffrey Ng
Laboratory Phone(248) 293-2418
Laboratory LocationGuardian Angel Home Care Of Las Vegas LLC150 N Durango Suite 150, Las Vegas, NV 89145
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2106645

Guardian Angel Home Care Of Bakersfield LLC · Bakersfield, CA
Active · expires Dec 21, 2027
CLIA Number05D2106645
Laboratory TypeHome Health Agency
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorAlex Dariushnia
Laboratory Phone(248) 293-2418
Laboratory LocationGuardian Angel Home Care Of Bakersfield LLC5001 Commerce Center Dr Ste 240, Bakersfield, CA 93309
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2101821

Guardian Angel Home Care Of San Luis Obispo · San Luis Obispo, CA
Active · expires Sep 9, 2027
CLIA Number05D2101821
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 10, 2025
Certificate Expiration DateSeptember 9, 2027
Laboratory DirectorMirwais Saifi
Laboratory Phone(248) 293-2418
Laboratory LocationGuardian Angel Home Care Of San Luis Obispo1428 Phillips Lane Ste B-2, San Luis Obispo, CA 93401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2024889

Guardian Angel Home Care, Inc. Guardian Angel Home Care & Hospice Of Ontario, LLC · Ontario, CA
Active · expires May 24, 2027
CLIA Number05D2024889
Laboratory TypeHome Health Agency
Certificate Effective DateMay 25, 2025
Certificate Expiration DateMay 24, 2027
Laboratory DirectorMirwais Saifi
Laboratory Phone(248) 293-2418
Laboratory LocationGuardian Angel Home Care, Inc. Guardian Angel Home Care & Hospice Of Ontario, LLC2910 E Inland Empire Blvd Ste 100, Ontario, CA 91764
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2088268

Guardian Angel Home Care Of Palm Desert, LLC · Palm Desert, CA
Active · expires Dec 11, 2026
CLIA Number05D2088268
Laboratory TypeHome Health Agency
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorMirwais Saifi
Laboratory Phone(248) 293-2418
Laboratory LocationGuardian Angel Home Care Of Palm Desert, LLC41865 Boardwalk, Ste 215, Palm Desert, CA 92211
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2117766

Guardian Angel Home Care Of San Jose LLC · San Jose, CA
Active · expires Aug 22, 2026
CLIA Number05D2117766
Laboratory TypeHome Health Agency
Certificate Effective DateAugust 23, 2024
Certificate Expiration DateAugust 22, 2026
Laboratory DirectorMirwais Saifi
Laboratory Phone(248) 293-2418
Laboratory LocationGuardian Angel Home Care Of San Jose LLC1885 The Alameda Ste 208, San Jose, CA 95126
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Guardian Angel Home Care Of Santa Rosa, LLC (CMS certification number 053101), from CMS Care Compare.

Guardian Angel Home Care Of Santa Rosa, LLC

Home health agency · Santa Rosa, CA
3/5 Quality of Patient Care
OwnershipProprietary
CMS Certification Number053101
Medicare-Certified SinceApril 20, 2017
Services Offered
Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services

Patient Care Measures

Patients whose home health care began in a timely manner
78.3%
Patients who got better at walking or moving around
87.8%
Patients who got better at getting in and out of bed
86.6%
Patients who got better at bathing
83.4%
Patients whose breathing improved
98%
Patients who got better at taking their drugs correctly by mouth
75.1%
Patients checked for a flu shot for the current season
76.6%
Physician-recommended actions on medication issues completed on time
88.7%
Patients with a functional assessment and care plan at admission and discharge
83%
Patients experiencing one or more falls with major injury
Lower rates are better for this measure.
0%
New or worsened pressure ulcers or injuries (skin integrity)
Lower rates are better for this measure.
0%
Measure rates are from the CMS Care Compare home health data. Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care
63 of 109 patient episodes · observed rate 57.8%
63.86% Worse Than National Rate
Potentially preventable hospital readmissions after discharge
27 patient stays · observed rate 3.7%
Lower rates are better for this measure.
3.82% Same As National Rate
Medicare spending per episode of care, relative to the national average
1.00 = national average per episode of care · based on 319 episodes
1.05
Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
100 STONY POINT SUITE 265
SANTA ROSA, CA 95401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Guardian Angel Home Care Inc.'s NPI number?

The NPI number for Guardian Angel Home Care Inc. is 1104204106. It was assigned to this organization in the NPPES registry on May 11, 2015.

Where is Guardian Angel Home Care Inc. located?

Guardian Angel Home Care Inc. is located at 100 Stony Point Suite 265, Santa Rosa, CA 95401. The listed phone number is (707) 526-5210.

What is Guardian Angel Home Care Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Guardian Angel Home Care Inc. hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Guardian Angel Home Care Inc. a Medicare-certified home health agency?

Yes. Guardian Angel Home Care Of Santa Rosa, LLC is a Medicare-certified home health agency, certified since April 20, 2017.

What quality rating does Guardian Angel Home Care Inc. have?

CMS rates Guardian Angel Home Care Of Santa Rosa, LLC 3 out of 5 stars for quality of patient care on Care Compare. The full measure detail is in the Home Health Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Guardian Angel Home Care Inc. was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.