Organization Active NPI

Guardian Care Services of Brevard

  • Home Health Agency
  • Longwood, FL
National Provider Identifier
1598064206
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GUARDIAN CARE SERVICES OF BREVARD
Practice address
254 S. Ronald Reagan Blvd.
Ste. 226
Longwood, FL 32750-5467
Phone
(321) 972-9766
Fax
(407) 571-9098
NPI assigned
Mar 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Mrs. Laura Parray, RNNPI 1134354046
Title
Owner
Phone
(321) 972-9766

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

254 S. Ronald Reagan Blvd.
Ste. 226
Longwood, FL 32750-5467

Mailing address

254 S. Ronald Reagan Blvd.
Ste. 226
Longwood, FL 32750-5467
Phone (321) 972-9766

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

254 S Ronald Reagan Blvd
Ste 226
Longwood, FL 32750
Phone (321) 633-4663

1535 Cogswell St
Ste C15
Rockledge, FL 32955
Phone (321) 633-4663

Practitioners & 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": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1598064206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 S. RONALD REAGAN BLVD.",
            "address_2": "STE. 226",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505467",
            "telephone_number": "321-972-9766",
            "fax_number": "407-571-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 S. RONALD REAGAN BLVD.",
            "address_2": "STE. 226",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505467",
            "telephone_number": "321-972-9766",
            "fax_number": "407-571-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN CARE SERVICES OF BREVARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "PARRAY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-972-9766",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.