Active NPI
Guardian Home Health Care LLC
- Home Health Agency
- Brooklyn Park, MN
National Provider Identifier
1508105370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 359811
- Legal business name
- GUARDIAN HOME HEALTH CARE LLC
- Practice address
- 6708 Dutton Ave N
Brooklyn Park, MN 55428 - Phone
- (763) 238-7796
- NPI assigned
- Feb 13, 2013
- 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
- Mrs. Lequilla Lashown Carr-Manning
- Title
- Owner
- Phone
- (763) 238-7796
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 359811 | MN | Primary |
Addresses
Primary practice location
6708 Dutton Ave N
Brooklyn Park, MN 55428
Mailing address
6708 Dutton Ave
Brooklyn Park, MN 55428-2415
Phone (763) 238-7796
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360713600000",
"number": "1508105370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6708 DUTTON AVE",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554282415",
"telephone_number": "763-238-7796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6708 DUTTON AVE N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "55428",
"telephone_number": "763-238-7796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-13",
"last_updated": "2013-02-13",
"status": "A",
"authorized_official_last_name": "CARR-MANNING",
"authorized_official_first_name": "LEQUILLA",
"authorized_official_middle_name": "LASHOWN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "763-238-7796",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "359811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.