Organization Active NPI

Guardian Mobility Care LLC

  • Non-emergency Medical Transport (VAN)
  • Edmond, OK
National Provider Identifier
1336074657
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GUARDIAN MOBILITY CARE LLC
Practice address
1600 Chelsea Dr Apt 223
Edmond, OK 73013-4311
Phone
(405) 938-9050
NPI assigned
Jun 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Shadrach Fofanah Sr.
Title
Authorized Official
Phone
(405) 938-9050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1600 Chelsea Dr Apt 223
Edmond, OK 73013-4311

Mailing address

1600 Chelsea Dr Apt 223
Edmond, OK 73013-4311
Phone (405) 938-9050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1336074657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CHELSEA DR APT 223",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134311",
            "telephone_number": "405-938-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CHELSEA DR APT 223",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134311",
            "telephone_number": "405-938-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN MOBILITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "FOFANAH",
        "authorized_official_first_name": "SHADRACH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "405-938-9050",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.