NPIMap

Organization Active NPI

Guava Homecare, Inc

Doing business as Guava Care, LLC

  • Home Health Agency
  • Hockessin, DE
National Provider Identifier
1043577976
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHAAO0022 Issued in DE
Legal business name
GUAVA HOMECARE, INC
Doing business as
Guava Care, LLC
Practice address
407 Valley Brook Dr
Hockessin, DE 19707-9113
Phone
(302) 399-6389
Fax
(302) 482-4300
NPI assigned
Apr 17, 2012
Last updated
Apr 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Authorized official

Name
Dr. Mary S Schreiber, PHD
Title
Ceo
Phone
(302) 399-6389

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHAAO0022 DE Primary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X HHAAO0022 DE
Preferred Provider Organization 305R00000X HHAAO0022 DE
Non-emergency Medical Transport (VAN) 343900000X HHAAO0022 DE
Private Vehicle 347C00000X HHAAO0022 DE
Respite Care 385H00000X HHAAO0022 DE
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X HHAAO0022 DE

Addresses

Primary practice location

407 Valley Brook Dr
Hockessin, DE 19707-9113

Mailing address

407 Valley Brook Dr
Hockessin, DE 19707-9113
Phone (302) 399-6389

Other identifiers 1

IdentifierTypeStateIssuer
3023996389MedicaidDE

Other names 1

  • Guava Care, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Guava Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1043577976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 VALLEY BROOK DR",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197079113",
            "telephone_number": "302-399-6389",
            "fax_number": "302-482-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 VALLEY BROOK DR",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197079113",
            "telephone_number": "302-399-6389",
            "fax_number": "302-482-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAVA HOMECARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "SCHREIBER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-399-6389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DE",
            "license": "HHAAO0022",
            "primary": true
        },
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "DE",
            "license": "HHAAO0022",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "DE",
            "license": "HHAAO0022",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "DE",
            "license": "HHAAO0022",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "DE",
            "license": "HHAAO0022",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "DE",
            "license": "HHAAO0022",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "DE",
            "license": "HHAAO0022",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3023996389",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guava Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hockessin, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.