Organization Active NPI

Guardiacare

  • Adult Day Care Clinic/Center
  • Louisville, KY
National Provider Identifier
1114072451
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
261QA0600X Issued in KY
Legal business name
GUARDIACARE
Practice address
215 W Breckinridge St
Louisville, KY 40203-2219
Phone
(502) 585-9949
Fax
(502) 585-9954
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Donald Palmore, BS
Title
Director Finance & HR
Phone
(502) 585-9949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 261QA0600X KY Primary

Addresses

Primary practice location

215 W Breckinridge St
Louisville, KY 40203-2219

Mailing address

215 W Breckinridge St
Louisville, KY 40203-2219
Phone (502) 585-9949

Other identifiers 1

IdentifierTypeStateIssuer
43005560MedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114072451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W BRECKINRIDGE ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032219",
            "telephone_number": "502-585-9949",
            "fax_number": "502-585-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W BRECKINRIDGE ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032219",
            "telephone_number": "502-585-9949",
            "fax_number": "502-585-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIACARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALMORE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "DIRECTOR FINANCE & HR",
        "authorized_official_telephone_number": "502-585-9949",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KY",
            "license": "261QA0600X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43005560",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.