- Enrollment id
- O20200428000666
- Enrollment state
- MI
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1144865114
- Multiple npi flag
- N
- Ccn
- 237417
- Associate id
- 6800226119
- Organization name
- GUARDIAN ANGEL HOME CARE AND HOSPICE OF ROCHESTER HILLS
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1715 NORTHFIELD DR
- City
- ROCHESTER HILLS
- State
- MI
- Zip code
- 483093819