Active NPI
Guardian Center, Inc
Doing business as The Guardian Center
- Skilled Nursing Facility
- Brockton, MA
National Provider Identifier
1265538631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GUARDIAN CENTER, INC
- Doing business as
- The Guardian Center
- Practice address
- 888 North Main Street
Brockton, MA 02301 - Phone
- (508) 588-1694
- NPI assigned
- Sep 15, 2006
- 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
- Gregory Grove
- Title
- Ceo-Guardian Foundation
- Phone
- (404) 233-6500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
888 North Main Street
Brockton, MA 02301
Mailing address
888 North Main Street
Brockton, MA 02301
Phone (508) 588-1694
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 981017 | Other | MA | TUFTS |
| 2222538201 | Other | MA | BLUE CROSS BLUE SHIELD |
| 7100960 | Other | MA | EVERCARE |
| 0925187 | Medicaid | MA |
Other names 1
- The Guardian Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214265600000",
"number": "1265538631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 NORTH MAIN STREET",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02301",
"telephone_number": "508-588-1694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 NORTH MAIN STREET",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02301",
"telephone_number": "508-588-1694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2008-06-24",
"status": "A",
"authorized_official_last_name": "GROVE",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "CEO-GUARDIAN FOUNDATION",
"authorized_official_telephone_number": "404-233-6500"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "981017",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2222538201",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "7100960",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0925187",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Guardian Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.