Organization Active NPI

Guardian in-Home Care, LLC

  • Home Health Agency
  • Valdosta, GA
National Provider Identifier
1154737559
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
092-R-1295 Issued in GA
Legal business name
GUARDIAN IN-HOME CARE, LLC
Practice address
3647 Druid Oaks Dr
Valdosta, GA 31605-6545
Phone
(229) 300-8785
NPI assigned
Jul 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Cynthia Brown
Title
Administrator/Owner
Phone
(229) 300-8785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 092-R-1295 GA Primary

Addresses

Primary practice location

3647 Druid Oaks Dr
Valdosta, GA 31605-6545

Mailing address

PO Box 4601
Valdosta, GA 31604-4601

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1154737559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4601",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316044601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3647 DRUID OAKS DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316056545",
            "telephone_number": "229-300-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN IN-HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "229-300-8785"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "092-R-1295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.