Organization Active NPI

Guardian Homecare LLC

  • Home Health Agency
  • Norfolk, VA
National Provider Identifier
1053353623
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GUARDIAN HOMECARE LLC
Practice address
248 W Bute St
Suite #202
Norfolk, VA 23510-1440
Phone
(757) 624-9999
Fax
(757) 624-1111
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Mrs. Joni Marie Hemmis
Title
Administrator
Phone
(757) 624-9999

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X VA Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X VA
Respite Care 385H00000X VA

Addresses

Primary practice location

248 W Bute St
Suite #202
Norfolk, VA 23510-1440

Mailing address

248 W Bute St
Suite #202
Norfolk, VA 23510-1440
Phone (757) 624-9999

Other identifiers 2

IdentifierTypeStateIssuer
010199000MedicaidVA
010196574MedicaidVA

National Provider Directory

National Provider Directory

Locations

6325 N Center Dr
Ste 110
Norfolk, VA 23502
Phone (757) 624-9999

248 W Bute St
Ste 202
Norfolk, VA 23510
Phone (757) 624-9999

700 E Franklin St
#1A4
Richmond, VA 23219
Phone (804) 649-4800

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1053353623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 W BUTE ST",
            "address_2": "SUITE #202",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101440",
            "telephone_number": "757-624-9999",
            "fax_number": "757-624-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 W BUTE ST",
            "address_2": "SUITE #202",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101440",
            "telephone_number": "757-624-9999",
            "fax_number": "757-624-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "HEMMIS",
        "authorized_official_first_name": "JONI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-624-9999",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010199000",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010196574",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.