GUARDIAN ANGEL HOME CARE INC.
NPI 1427207026
Home Health in Moraine, OH

Active since September 18, 2008CLIA 36D1100616 · Waiver
3055 KETTERING BLVD., SUITE 307, MORAINE, OH 45439(937) 643-3472(937) 643-3483 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 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 1427207026) is a healthcare organization registered as a home health in Moraine, Ohio and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Sam D Kassab, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1427207026
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameGUARDIAN ANGEL HOME CARE INC.
Location Address3055 KETTERING BLVD., SUITE 307Moraine, OH 45439-1949
Mailing Address1715 Northfield DriveRochester Hills, MI 43093-3819 · (248) 293-2418 · Fax (248) 293-2401
Fax(937) 643-3483
Organization SubpartNo
Authorized OfficialSam D KassabPresident/ceo · (248) 293-2400
Enumeration DateSeptember 18, 2008
Last NPPES UpdateOctober 4, 2016
NPI 1427207026 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.
3055 KETTERING BLVD., SUITE 307, Moraine, OH 45439

Other Identifiers 6

Medicare UPIN368308
Medicaid3063778OH
Medicaid306778OH
Medicaid368308OH
Medicare OSCAR/certification368308OH
Medicare UPIN36-8308

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 36D1100616

Guardian Angel Home Care Of Moraine LLC · Moraine, OH
Active · expires Jun 8, 2027
CLIA Number36D1100616
Laboratory TypeHome Health Agency
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorJaclyn J. Bachik
Laboratory Phone(937) 643-3472
Laboratory LocationGuardian Angel Home Care Of Moraine LLC3055 Kettering Blvd Ste 307 Ste 307, Moraine, OH 45439
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1427207026. It was assigned to this organization in the NPPES registry on September 18, 2008.

Where is Guardian Angel Home Care Inc. located?

Guardian Angel Home Care Inc. is located at 3055 Kettering Blvd., Suite 307, Moraine, OH 45439. The listed phone number is (937) 643-3472.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1100616) is associated with this NPI, valid through June 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Guardian Angel Home Care Inc. accept?

Health plans from CareSource list Guardian Angel Home Care Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Guardian Angel Home Care Inc. was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.