Organization Active NPI

Guardian Care Advisors, Inc.

  • Custodial Care Facility
  • Winston Salem, NC
National Provider Identifier
1407238355
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
HC4488 Issued in NC
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

Updated by the provider on Jun 26, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HC4488OtherNCDEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF HEALTH SERVICE REGULATION

Other names 1

  • Griswold Home Care of Winston Salem Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.