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Organization Active NPI

Guardian Home Health Care of Louisiana Inc.

  • Home Health Agency
  • Metairie, LA
National Provider Identifier
1407848898
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1075 Issued in LA
Legal business name
GUARDIAN HOME HEALTH CARE OF LOUISIANA INC.
Practice address
2825 Athania Pkwy
Metairie, LA 70002-5905
Phone
(504) 828-2294
Fax
(504) 828-2234
NPI assigned
Aug 22, 2005
Organization subpart
No

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 Pacella Odom
Title
President/Administrator
Phone
(504) 828-2294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1075 LA Primary

Addresses

Primary practice location

2825 Athania Pkwy
Metairie, LA 70002-5905

Mailing address

2825 Athania Pkwy
Metairie, LA 70002-5905
Phone (504) 828-2294

Other identifiers 3

IdentifierTypeStateIssuer
XXXXXXXXXXOtherLAHUMANA /CHOICE CARE NETWORK
1406601MedicaidLA
33047OtherLABLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051012000186 LA Part A Provider - Home Health Agency 3971528688 Practice locations: Metairie, LA

Home health agency certification: CCN 197758

Legal name
GUARDIAN HOME HEALTH CARE OF LOUISIANA INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 19, 1996
Last certification
Mar 4, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 7, 1997 in LA
Enrollment address
2825 Athania Pkwy
Metairie, LA 70002-5905

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: Home health agency

Medicare Care Compare
Listed as
Guardian Home Health Care of la., Inc.CCN 197758
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Aug 19, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

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

Other organizations with this tax ID 2

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

Locations

2825 Athania Pkwy
Metairie, LA 70002
Phone (504) 828-2294

3510 N Causeway Blvd
Ste 501
Metairie, LA 70002
Phone (504) 831-3044

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 Aug 19, 1997 50%
Corporate OfficerCeo Aug 22, 2009 50%
W-2 Managing EmployeeAdministrator Sep 15, 1997 50%

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1407848898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 ATHANIA PKWY",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025905",
            "telephone_number": "504-828-2294",
            "fax_number": "504-828-2234"
        },
        {
            "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": "504-828-2294",
            "fax_number": "504-828-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HOME HEALTH CARE OF LOUISIANA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "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": "PACELLA",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "504-828-2294",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "1075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA /CHOICE CARE NETWORK",
            "identifier": "XXXXXXXXXX",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1406601",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "33047",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.