Organization Active NPI

Guardian Living Care, Inc.

  • Home Health Agency
  • Clifton, NJ
National Provider Identifier
1215505813
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GUARDIAN LIVING CARE, INC.
Practice address
39F Brookside Dr
Clifton, NJ 07012-3153
Phone
(201) 831-8558
NPI assigned
Jun 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Shaheed Bailey
Title
Chairman and Ceo
Phone
(201) 831-8558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

39F Brookside Dr
Clifton, NJ 07012-3153

Mailing address

39F Brookside Dr
Clifton, NJ 07012-3153
Phone (201) 831-8558

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1215505813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39F BROOKSIDE DR",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070123153",
            "telephone_number": "201-831-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39F BROOKSIDE DR",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070123153",
            "telephone_number": "201-831-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN LIVING CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "SHAHEED",
        "authorized_official_title_or_position": "CHAIRMAN AND CEO",
        "authorized_official_telephone_number": "201-831-8558"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.