Active NPI
Guardian Care Advisors, Inc.
- Custodial Care Facility
- Winston Salem, NC
National Provider Identifier
1407238355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- License
- HC4488
- Legal business name
- GUARDIAN CARE ADVISORS, INC.
- Practice address
- 1320 Ashley SQ
Winston Salem, NC 27103-2919 - Phone
- (336) 462-8472
- NPI assigned
- Jun 26, 2015
- 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
- Mr. Norman Potter
- Title
- Director/Owner
- Phone
- (336) 462-8472
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | HC4488 | NC | Primary |
Addresses
Primary practice location
1320 Ashley SQ
Winston Salem, NC 27103-2919
Mailing address
1320 Ashley SQ
Winston Salem, NC 27103-2919
Phone (336) 462-8472
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HC4488 | Other | NC | DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF HEALTH SERVICE REGULATION |
Other names 1
- Griswold Home Care of Winston Salem
National Provider Directory
National Provider DirectoryLocations
1320 Ashley Sq
Winston Salem, NC 27103
Phone (326) 760-9355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435276800000",
"number": "1407238355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 ASHLEY SQ",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032919",
"telephone_number": "336-462-8472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 ASHLEY SQ",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032919",
"telephone_number": "336-462-8472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN CARE ADVISORS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-26",
"last_updated": "2015-06-26",
"status": "A",
"authorized_official_last_name": "POTTER",
"authorized_official_first_name": "NORMAN",
"authorized_official_title_or_position": "DIRECTOR/OWNER",
"authorized_official_telephone_number": "336-462-8472",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "NC",
"license": "HC4488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF HEALTH SERVICE REGULATION",
"identifier": "HC4488",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Griswold Home Care of Winston Salem",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.