Active NPI
Guardian Care of Palm Beach
- Home Health Agency
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GUARDIAN CARE OF PALM BEACH
- Practice address
- 7100 Camino Real Ste 302-5
Boca Raton, FL 33433-5510 - Phone
- (561) 865-5023
- Fax
- (561) 865-5148
- NPI assigned
- Apr 5, 2011
- 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
- Suzanne Ducasse
- Title
- Administrator
- Phone
- (561) 865-5023
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
7100 Camino Real Ste 302-5
Boca Raton, FL 33433-5510
Mailing address
7100 Camino Real Ste 302-5
Boca Raton, FL 33433-5510
Phone (561) 865-5023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111203000033 | FL | Part A Provider - Home Health Agency | 5294900262 | Practice locations: Boca Raton, FL |
Home health agency certification: CCN 109788
- Legal name
- GUARDIAN CARE OF PALM BEACH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 30, 2012
- Last certification
- Apr 10, 2015
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- May 6, 2009 in FL
- Enrollment address
- 7100 Camino Real
Ste 302-25
Boca Raton, FL 33433-5510
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Guardian Care of Palm Beach , Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 30, 2012
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2020948 | Guardian Care of Palm Beach | Certificate of waiver | Jan 10, 2028 |
National Provider Directory
National Provider DirectoryLocations
7100 Camino Real
Ste 30225
Boca Raton, FL 33433
Phone (561) 865-5023
23257 State Road 7
Ste 203
Boca Raton, FL 33428
Phone (561) 865-5023
7100 Camino Real
Ste 3025
Boca Raton, FL 33433
Phone (561) 865-5023
8794 Boynton Beach Blvd
Ste 219
Boynton Beach, FL 33472
Phone (561) 865-5023
14000 S Military Trl
Delray Beach, FL 33484
Phone (561) 307-1801
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Suzanne Ducasse | Limited Partnership Interest | Jul 10, 2016 | 100% |
| Corporate Officer | Jul 10, 2016 | 100% | |
| W-2 Managing Employee | Jul 10, 2016 | 100% | |
| Aser Holdings LLC | 5% Or Greater Direct Ownership Interest | Jul 10, 2016 | 100% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Elmont, NY
- NPI 1427168210
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Delray Beach, FL
- NPI 1497728877
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698883200000",
"number": "1053600692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 CAMINO REAL STE 302-5",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334335510",
"telephone_number": "561-865-5023",
"fax_number": "561-865-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 CAMINO REAL STE 302-5",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334335510",
"telephone_number": "561-865-5023",
"fax_number": "561-865-5148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN CARE OF PALM BEACH",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-05",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A",
"authorized_official_last_name": "DUCASSE",
"authorized_official_first_name": "SUZANNE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "561-865-5023"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
- Jeremy David Grunfeld, PH. D,
- Alan Keith Gruskin, D.O.
- GRX Medical Group de PA
- Betty Andrea Grzywacz
- GTV Networks, Inc.
- Guardian Companionship & Care LLC
- Guardian Diagnostics LLC
- Guardian DME LLC
- Guardian Pharmacy of Southeast Florida LLC (Guardian Pharmacy of Southeast Florida)
- Guardian Recovery Boca Raton Adolescent Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.