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Organization Active NPI

Guardian Home Health Care of Louisiana Inc

  • Community Based Hospice Care Agency
  • Metairie, LA
National Provider Identifier
1356540751
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
243 Issued in LA
Legal business name
GUARDIAN HOME HEALTH CARE OF LOUISIANA INC
Practice address
2825 Athania Pkwy
Metairie, LA 70002-5905
Phone
(504) 831-3044
Fax
(504) 831-5696
NPI assigned
Jul 16, 2007
Organization subpart
Yes
Parent organization
GUARDIAN HOME HEALTH CARE OF LOUISIANA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Ms. Beverly P Odom
Title
Administrator
Phone
(504) 831-3044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 243 LA Primary

Addresses

Primary practice location

2825 Athania Pkwy
Metairie, LA 70002-5905

Mailing address

3510 North Causeway Blvd
501A
Metairie, LA 70002
Phone (504) 831-3044

Other identifiers 1

IdentifierTypeStateIssuer
1031500MedicaidLA

Other names 1

  • DBA MY HOSPICE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070912000692 LA Part A Provider - Hospice 3971528688 Practice locations: Metairie, LA

Hospice certification: CCN 191646

Legal name
GUARDIAN HOME HEALTH CARE OF LOUISIANA INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 24, 2007
Last certification
May 19, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Sep 7, 1997 in LA
Enrollment address
3510 N Causeway Blvd
Ste 501
Metairie, LA 70002-3531

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
My HospiceCCN 191646
Ownership
For-Profit
Certified
Oct 24, 2007
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Guardian Home Health Care of Louisiana Inc3 organizations share this tax ID, including this one
Part of
Guardian Home Health Care of Louisiana Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3510 N Causeway Blvd
#501A
Metairie, LA 70002

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Beverly Odom Individual 5% Or Greater Direct Ownership InterestAdministrator Jul 1, 2007 50%
Corporate DirectorDirector of Operations Jul 1, 2007 50%
W-2 Managing EmployeeAdministrator Jul 1, 2007 50%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1356540751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 NORTH CAUSEWAY BLVD",
            "address_2": "501A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70002",
            "telephone_number": "504-831-3044",
            "fax_number": "504-831-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 ATHANIA PKWY",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025905",
            "telephone_number": "504-831-3044",
            "fax_number": "504-831-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HOME HEALTH CARE OF LOUISIANA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUARDIAN HOME HEALTH CARE OF LOUISIANA INC",
        "enumeration_date": "2007-07-16",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "504-831-3044",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031500",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA MY HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.