Guardian Angel Personal Care Service LLC
NPI 1104791920ActiveOrganization· Homemaker· Lawtey, FL
Homemaker in Lawtey, Florida, registered in NPPES in October 2025, part of Guardian Angel Personal Care Services. The authorized official on file is Nequila L. Berry, CEO, Manager.
Overview
| NPI | 1104791920 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Guardian Angel Personal Care Services |
| NPI issued | Oct 9, 2025 |
| Last updated in NPPES | Oct 9, 2025 |
| Certified by provider | Oct 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Homemaker Primary | 376J00000X | — | — |
| Meals | 174200000X | — | — |
| Home Health | 251E00000X | — | — |
| In Home Supportive Care | 253Z00000X | — | — |
| Transportation Network Company | 342000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Homemaker providers in Lawtey
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- 1649863440