Organization Active NPI

Guardian Life Care LLC

  • Non-emergency Medical Transport (VAN)
  • Douglasville, GA
National Provider Identifier
1215615851
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GUARDIAN LIFE CARE LLC
Practice address
3661 Morinda Dr
Douglasville, GA 30135-7275
Phone
(843) 610-4963
NPI assigned
Jul 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
David Matthews
Title
Owner
Phone
(843) 610-4963

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary
Transportation Broker 347E00000X

Addresses

Primary practice location

3661 Morinda Dr
Douglasville, GA 30135-7275

Mailing address

3661 Morinda Dr
Douglasville, GA 30135-7275
Phone (843) 610-4963

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1215615851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 MORINDA DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357275",
            "telephone_number": "843-610-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 MORINDA DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357275",
            "telephone_number": "843-610-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN LIFE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-610-4963"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.