Active NPI
Guardian Home Care of KS LLC
- Home Health Agency
- Derby, KS
National Provider Identifier
1033933676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GUARDIAN HOME CARE OF KS LLC
- Practice address
- 205 W Crestway Ave Ste 300
Derby, KS 67037-1854 - Phone
- (316) 315-6066
- Fax
- (316) 315-6067
- NPI assigned
- Nov 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Desiree Young
- Title
- Chief Operating Officer
- Phone
- (316) 315-6066
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
205 W Crestway Ave Ste 300
Derby, KS 67037-1854
Mailing address
205 W Crestway Ave Ste 300
Derby, KS 67037-1854
Phone (316) 315-6066
National Provider Directory
National Provider DirectoryLocations
801 E Douglas Ave
Ste 686
Wichita, KS 67202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788480000000",
"number": "1033933676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W CRESTWAY AVE STE 300",
"city": "DERBY",
"state": "KS",
"postal_code": "670371854",
"telephone_number": "316-315-6066",
"fax_number": "316-315-6067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W CRESTWAY AVE STE 300",
"city": "DERBY",
"state": "KS",
"postal_code": "670371854",
"telephone_number": "316-315-6066",
"fax_number": "316-315-6067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN HOME CARE OF KS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-11",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "DESIREE",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "316-315-6066"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.