Guardian Homecare Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GUARDIAN HOMECARE AGENCY

Practice address

1040 90TH St
West Des Moines, IA 50266-3306

Phone

(267) 712-9787

NPI assigned

Sep 2, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Deddeh Newman

Title

Director

Phone

(267) 712-9787

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1568076164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 90TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502663306",
            "telephone_number": "267-712-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 90TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502663306",
            "telephone_number": "267-712-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HOMECARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-08-29",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "DEDDEH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "267-712-9787",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "00000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Contact@guardianhomecareagency.com",
            "affiliation": "N",
            "address_1": "1040 90th St",
            "city": "West Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502663306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.