Organization Active NPI

Nesburg Inc Dba Guardian Community Health Systems

  • Home Health Agency
  • Owings Mills, MD
National Provider Identifier
1346571908
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R2846 Issued in MD
Legal business name
NESBURG INC DBA GUARDIAN COMMUNITY HEALTH SYSTEMS
Practice address
20 Pleasant Ridge Dr Ste E
Owings Mills, MD 21117-2560
Phone
(410) 800-4572
Fax
(410) 286-1923
NPI assigned
Jan 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Mr. Gbenga Obatuase
Title
Director
Phone
(410) 800-4572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R2846 MD Primary

Addresses

Primary practice location

20 Pleasant Ridge Dr Ste E
Owings Mills, MD 21117-2560

Mailing address

20 Pleasant Ridge Dr Ste E
Owings Mills, MD 21117-2560
Phone (410) 800-4572

Other identifiers 1

IdentifierTypeStateIssuer
24247MedicaidMD

National Provider Directory

National Provider Directory

Locations

20 Pleasant Ridge Dr
Ste E
Owings Mills, MD 21117
Phone (410) 753-2304

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1346571908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PLEASANT RIDGE DR STE E",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172560",
            "telephone_number": "410-800-4572",
            "fax_number": "410-286-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PLEASANT RIDGE DR STE E",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172560",
            "telephone_number": "410-800-4572",
            "fax_number": "410-286-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESBURG INC DBA GUARDIAN COMMUNITY HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "OBATUASE",
        "authorized_official_first_name": "GBENGA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-800-4572",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R2846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24247",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.