National Provider Identifier Database

GUARDIAN ANGELS ELIM HOME CARE INC
Hospice Care, Community Based


Contact Information

GUARDIAN ANGELS ELIM HOME CARE, INC
403 MAIN ST NW
ELK RIVER, MN55330-1533
Phone: 763-241-0654
Fax: 763-241-0274
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for GUARDIAN ANGELS ELIM HOME CARE, INC

NPI Number 1174610448
Legal business name
LBN
GUARDIAN ANGELS ELIM HOME CARE, INC
Authorized official ANDREA JUNG - (CEO)
Entity Organization
Organization subpart No
Enumeration date 10/06/2006
Last updated 05/20/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 332158
  • MN Medicaid: 126627600
  • MN Other: 3153GU BCBS/BLUE PLUS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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