Guardian Halo Health Care LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

GUARDIAN HALO HEALTH CARE LLC

Doing business as

Guardian Halo Home Health Care

Practice address

4341 Gautier Vancleave Road
Suite 4
Gautier, MS 39553-5824

Phone

(228) 471-5249

Fax

(228) 471-5249

NPI assigned

Jun 16, 2016

Organization subpart

No

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

Authorized official

Name

Mr. John Omonkhuale Madojemiu, B.S, M.SC., MSM, CTM

Title

President/Ceo

Phone

(228) 471-5249

Specialties & licenses 10

Addresses

Other names 1

• Guardian Halo Home Health Care Doing business as

Locations

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1093165375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 GAUTIER VANCLEAVE ROAD",
            "address_2": "SUITE 4",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535824",
            "telephone_number": "228-471-5249",
            "fax_number": "228-471-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 GAUTIER VANCLEAVE ROAD",
            "address_2": "SUITE 4",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535824",
            "telephone_number": "228-471-5249",
            "fax_number": "228-471-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HALO HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "MADOJEMIU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "OMONKHUALE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "228-471-5249",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S, M.SC., MSM, CTM"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Halo Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guardian Halo Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Y. Green, B.S.
• Mallory Layne Green
• Gregory Greene Jr.
• Steven Sherwood Greene, B.S.
• Gregory Paul Greer, CRNA, MHS
• Ruth Maritta Gunn, M.A.
• Michelle Ha, PHARMD
• Ashley Hall, MS, PLPC
• Marilyn Louise Hall, B.A.
• Angela Janine Hallfrisch

• Respite Care in Gautier, MS
• Providers in Gautier, MS by specialty
• Respite Care in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.