Organization Active NPI

Guardian Care of Palm Beach

  • Home Health Agency
  • Boca Raton, FL
National Provider Identifier
1053600692
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Nov 2, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 , IncCCN 109788 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
May 30, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2020948Guardian Care of Palm Beach7100 Camino Real # 302-25, Boca Raton, FL 33433Certificate of waiverJan 10, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Suzanne Ducasse Individual Limited Partnership InterestCeo Jul 10, 2016 100%
Corporate OfficerCeo Jul 10, 2016 100%
W-2 Managing EmployeeCeo Jul 10, 2016 100%
Aser Holdings LLC Organization, Boca Raton, FL Created for acquisition, LLC, For-profit 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.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.