Active NPI
My Guardian for Life, Inc.
- Home Health Agency
- Rockwall, TX
National Provider Identifier
1619256740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MY GUARDIAN FOR LIFE, INC.
- Practice address
- 761 Justin Rd Ste G
Rockwall, TX 75087-4876 - Phone
- (972) 722-7490
- Fax
- (972) 722-7403
- NPI assigned
- Aug 7, 2011
- 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
- Brenda Keilers
- Title
- Ceo
- Phone
- (214) 500-6332
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Community Based Hospice Care Agency | 251G00000X |
Addresses
Primary practice location
761 Justin Rd Ste G
Rockwall, TX 75087-4876
Mailing address
761 Justin Rd Ste G
Rockwall, TX 75087-4876
Phone (972) 722-7490
Other names 1
- My Guardian for Life Hospice
National Provider Directory
National Provider DirectoryLocations
761 Justin Rd
Ste G
Rockwall, TX 75087
Phone (972) 722-7490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369958400000",
"number": "1619256740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 JUSTIN RD STE G",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750874876",
"telephone_number": "972-722-7490",
"fax_number": "972-722-7403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 JUSTIN RD STE G",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750874876",
"telephone_number": "972-722-7490",
"fax_number": "972-722-7403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY GUARDIAN FOR LIFE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-07",
"last_updated": "2013-05-31",
"status": "A",
"authorized_official_last_name": "KEILERS",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-500-6332"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "My Guardian for Life Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.