Independent Guardian LLC

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

License

200566240A Issued in KS

Legal business name

INDEPENDENT GUARDIAN LLC

Practice address

550 S Estelle St
Wichita, KS 67211-2909

Phone

(316) 880-1742

NPI assigned

Oct 24, 2013

Organization subpart

No

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

Authorized official

Name

Aaron Deckinger

Title

Owner

Phone

(316) 880-1742

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1114355476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S ESTELLE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112909",
            "telephone_number": "316-880-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S ESTELLE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112909",
            "telephone_number": "316-880-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT GUARDIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "DECKINGER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-880-1742"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "KS",
            "license": "200566240A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Child Intellectual and/or Developmental Disabilities Respite Care in Wichita, KS
• Providers in Wichita, KS by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.