Omnicare Guardians Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

OMNICARE GUARDIANS SERVICES LLC

Practice address

9116 Revere St
Philadelphia, PA 19152-1524

Phone

(215) 475-0764

NPI assigned

Sep 3, 2020

Organization subpart

No

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

Authorized official

Name

Tatiana Jabouin

Title

President

Phone

(215) 475-0764

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1265046577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9116 REVERE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9116 REVERE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521524",
            "telephone_number": "215-475-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNICARE GUARDIANS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "JABOUIN",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-475-0764"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sawsan B Omer
• Nkemdilim Omesiete, PHARM .D.
• Alan Jay Ominsky, MD
• Joshua Allen Omlor, PHARMD
• Omni Vision Corp.
• Omnirad LLC
• Temitope A. Omoladun-Tijani, MD
• Armina Omole, MD
• Temitope T Omolehinwa, BDS, DSCD
• Louisa Omoregie, DO

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.