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LIFE GUARDIAN ANGELS HEALTHCARE LLC
NPI 1821704727
Home Health in Matteson, IL

Active since January 25, 2023CLIA 14D2310216 · Waiver
600 HOLIDAY PLAZA DR STE 184, MATTESON, IL 60443(708) 646-3965 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2023, Jan 25, 2023 (2 updates tracked since 2023).

About Life Guardian Angels Healthcare Llc NPPES

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

LIFE GUARDIAN ANGELS HEALTHCARE LLC (NPI 1821704727) is a healthcare organization registered as a home health in Matteson, Illinois and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through August 28, 2026 and lists Teshon Ogundele, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1821704727
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameLIFE GUARDIAN ANGELS HEALTHCARE LLC
Location Address600 HOLIDAY PLAZA DR STE 184Matteson, IL 60443-2241
Mailing Address906 Eagle Point DrMatteson, IL 60443-1987 · (708) 646-3965
Phone(708) 646-3965
Organization SubpartNo
Authorized OfficialTeshon OgundeleOwner/president · (773) 954-4385
Enumeration DateJanuary 25, 2023
Last NPPES UpdateJuly 24, 20232 updates tracked since enumeration
NPPES CertifiedJuly 3, 2023
✔ NPI 1821704727 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.
600 HOLIDAY PLAZA DR STE 184, Matteson, IL 60443
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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 14D2310216

Life Guardian Angels Healthcare LLC · Matteson, IL
Active · expires Aug 28, 2026
CLIA Number14D2310216
Laboratory TypeHome Health Agency
Certificate Effective DateAugust 29, 2024
Certificate Expiration DateAugust 28, 2026
Laboratory DirectorTeshon Ogundele
Laboratory Phone(708) 646-3965
Laboratory LocationLife Guardian Angels Healthcare LLC600 Holiday Plaza Dr - Ste 184, Matteson, IL 60443
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

LIFE GUARDIAN ANGELS HOMECARE LLC
Homemaker
600 HOLIDAY PLAZA DR STE 184
MATTESON, IL 60443
Cook County (773) 954-4385

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 Life Guardian Angels Healthcare LLC's NPI number?

The NPI number for Life Guardian Angels Healthcare LLC is 1821704727. It was assigned to this organization in the NPPES registry on January 25, 2023.

Where is Life Guardian Angels Healthcare LLC located?

Life Guardian Angels Healthcare LLC is located at 600 Holiday Plaza Dr Ste 184, Matteson, IL 60443. The listed phone number is (708) 646-3965.

What is Life Guardian Angels Healthcare LLC's specialty?

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

Does Life Guardian Angels Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2310216) is associated with this NPI, valid through August 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Life Guardian Angels Healthcare LLC was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.