Guardian Care LLC.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

GUARDIAN CARE LLC.

Practice address

104 W Railroad Ave N
Crystal Springs, MS 39059-2154

Phone

(601) 415-9533

NPI assigned

May 19, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Anna W Oberhousen

Title

Administrator

Phone

(601) 415-9533

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1337385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1578823928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 STONEWATER CV",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391104405",
            "telephone_number": "601-415-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W RAILROAD AVE N",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "390592154",
            "telephone_number": "601-415-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-19",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "OBERHOUSEN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-415-9533",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09574731",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Crystal Springs, MS
• Providers in Crystal Springs, MS by specialty
• Adult Day Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.