Guardian Community Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GUARDIAN COMMUNITY CARE LLC

Practice address

101 Forest Dr Ste B
Knightdale, NC 27545-9603

Phone

(919) 358-2797

NPI assigned

Sep 9, 2021

Last updated

Sep 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gennetta Tamara Nelson, BSN,RN

Title

Owner/Administrator

Phone

(919) 358-2797

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1245909639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1482",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275451482",
            "telephone_number": "919-358-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FOREST DR STE B",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459603",
            "telephone_number": "919-358-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN COMMUNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "GENNETTA",
        "authorized_official_middle_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "919-358-2797",
        "authorized_official_credential": "BSN,RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Morgan E Gunter, PSY.D., LP, HSP-P
• Kisha Lashelle Gwyn

• Home Health Agency in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.