Active NPI
Guardian in-Home Care, LLC
- Home Health Agency
- Valdosta, GA
National Provider Identifier
1154737559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 092-R-1295
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.