Organization Active NPI

Guardian Home Care of Northeast Georgia, LLC

Doing business as AccentCare Home Health of Northeast Georgia

  • Home Health Agency
  • Buford, GA
National Provider Identifier
1639100985
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
069274H Issued in GA
Legal business name
GUARDIAN HOME CARE OF NORTHEAST GEORGIA, LLC
Doing business as
AccentCare Home Health of Northeast Georgia
Practice address
5089 Bristol Industrial Way Ste B
Buford, GA 30518-1780
Phone
(678) 450-9950
Fax
(678) 450-9930
NPI assigned
Jul 5, 2006
Last updated
Dec 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Heather Siscel
Title
VP Legal
Phone
(224) 221-0465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 069274H GA Primary

Addresses

Primary practice location

5089 Bristol Industrial Way Ste B
Buford, GA 30518-1780

Mailing address

5089 Bristol Industrial Way Ste B
Buford, GA 30518-1780
Phone (678) 450-9950

Other names 1

  • AccentCare Home Health of Northeast Georgia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030926000020 GA Part A Provider - Home Health Agency 9638080617 Practice locations: Buford, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639100985. Details of each certification follow.

Home health agency certification: CCN 117139

Legal name
GUARDIAN HOME CARE OF NORTHEAST GEORGIA, LLC
Doing business as
ACCENTCARE HOME HEALTH OF NORTHEAST GEORGIA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 24, 2003
Last certification
Oct 31, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Nov 4, 2002 in GA
Enrollment address
5089 Bristol Industrial Way
Ste B
Buford, GA 30518-1780

Care Compare: Home health agency

Medicare Care Compare
Listed as
Accentcare Home Health of Northeast GeorgiaCCN 117139 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Nov 24, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1018824Guardian Home Care of North East Georgia LLC5089 Bristol Industrial Way, Suite B, Buford, GA 30518Certificate of waiverNov 2, 2027

National Provider Directory

National Provider Directory

Locations

5089 Bristol Industrial Way
Ste B
Buford, GA 30518
Phone (678) 450-9950

501 Candler St
#B
Gainesville, GA 30501
Phone (678) 450-9950

655 Jesse Jewell Pkwy SE
Ste A
Gainesville, GA 30501
Phone (678) 450-9950

701 Medical Park Ln
Gainesville, GA 30501

1174 McKendree Church Rd
Ste 202
Lawrenceville, GA 30043
Phone (770) 982-2231

2121 Fountain Dr
Ste H
Snellville, GA 30078
Phone (706) 870-3897

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Laura Tortorella Individual Corporate OfficerPresident Dec 14, 2023
Advent International Gpe VIII-B, L.P. Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Jun 20, 2019 15.1%
Horizon Acquisition Co Inc. Organization, Boston, MA Created for acquisition, Corporation 5% Or Greater Indirect Ownership Interest Jun 20, 2019 100%
Advent International Gpe VIII-H, L.P. Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Jun 20, 2019 5.5%
Horizon Group Holdings Intermediate 2, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company 5% Or Greater Indirect Ownership Interest Jun 20, 2019 100%
Seasons Rollover Holdings LLC Organization, Lincolnwood, IL LLC 5% Or Greater Indirect Ownership Interest Dec 21, 2020 15.4%
Guardian Home Care Holdings Inc Organization, Dallas, TX Corporation 5% Or Greater Direct Ownership Interest May 5, 2006 100%
Horizon Group Holdings Intermediate 1, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company 5% Or Greater Indirect Ownership Interest Jun 20, 2019 100%
Advent International Gpe VIII-I, L.P. Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Jun 20, 2019 5.1%
Horizon Group Holdings, L.P. Organization, Boston, MA Created for acquisition, Holding company 5% Or Greater Indirect Ownership Interest Jun 20, 2019 100%
Advent International Gpe VIII-J LP Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Jun 20, 2019 5%
Advent International Gpe VIII-B-1, L.P. Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Jun 20, 2019 5.4%
Mary Frances Perkins Individual W-2 Managing EmployeeAd; Jun 1, 2025
Advent International Gpe VIII-B-3, L.P. Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Jun 20, 2019 6.3%
Advent International Gpe VIII-a LP Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Jun 20, 2019 11.2%
Accentcare, Inc. Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Dec 22, 2010 100%
Dena Schwartz-Doty Individual Corporate OfficerSecretary Apr 1, 2015
Pluto Acquisition I Inc Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Dec 22, 2010 100%

Facilities with the same owner 114

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 114

Practitioners & affiliated clinicians

Affiliated clinicians 149

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 149

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1639100985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5089 BRISTOL INDUSTRIAL WAY STE B",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305181780",
            "telephone_number": "678-450-9950",
            "fax_number": "678-450-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5089 BRISTOL INDUSTRIAL WAY STE B",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305181780",
            "telephone_number": "678-450-9950",
            "fax_number": "678-450-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HOME CARE OF NORTHEAST GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "SISCEL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "VP LEGAL",
        "authorized_official_telephone_number": "224-221-0465"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "069274H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AccentCare Home Health of Northeast Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buford, GA

Sources for this page

Verify at the official NPI Registry.