Organization Active NPI

Valet Guardian LLC

  • Nursing Home Administrator
  • Atlanta, GA
National Provider Identifier
1003588500
Registry record updated Oct 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
Legal business name
VALET GUARDIAN LLC
Practice address
3700 High Point LN SW
Atlanta, GA 30331-7986
Phone
(239) 258-8462
NPI assigned
Oct 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Danika Desgazon
Title
Co Owner
Phone
(239) 258-8462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home AdministratorGroup: 193200000X MULTI-SPECIALTY GROUP 376G00000X Primary

Addresses

Primary practice location

3700 High Point LN SW
Atlanta, GA 30331-7986

Mailing address

3700 High Point LN SW
Atlanta, GA 30331-7986

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633132800000",
    "number": "1003588500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 HIGH POINT LN SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 HIGH POINT LN SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317986",
            "telephone_number": "239-258-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALET GUARDIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-02",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A",
        "authorized_official_last_name": "DESGAZON",
        "authorized_official_first_name": "DANIKA",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "239-258-8462"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.