Organization Active NPI

Guardian Gems Home Care LLC

  • Personal Care Attendant
  • Greenwood, IN
National Provider Identifier
1396518890
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
GUARDIAN GEMS HOME CARE LLC
Practice address
182 Balmoral Way Apt 20O
Greenwood, IN 46143-6332
Phone
(317) 779-4924
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Jodeci Henderson
Title
Ceo
Phone
(317) 779-4924

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

182 Balmoral Way Apt 20O
Greenwood, IN 46143-6332

Mailing address

182 Balmoral Way Apt 20O
Greenwood, IN 46143-6332
Phone (317) 779-4924

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1396518890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 BALMORAL WAY APT 20O",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436332",
            "telephone_number": "317-779-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 BALMORAL WAY APT 20O",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436332",
            "telephone_number": "317-779-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN GEMS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JODECI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-779-4924"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.