Guardian Home Care of Michigan LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GUARDIAN HOME CARE OF MICHIGAN LLC

Practice address

5982 Kingsfield Dr
West Bloomfield, MI 48322-1464

Phone

(248) 719-9082

NPI assigned

Sep 27, 2024

Organization subpart

No

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

Authorized official

Name

Lamar Jarbo

Title

Manager

Phone

(248) 719-9082

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1457179517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5982 KINGSFIELD DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221464",
            "telephone_number": "248-719-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5982 KINGSFIELD DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221464",
            "telephone_number": "248-719-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HOME CARE OF MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "JARBO",
        "authorized_official_first_name": "LAMAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-719-9082"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.