Organization Active NPI

Guardian Health Services

  • Home Health Agency
  • Lenoir, NC
National Provider Identifier
1639127863
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC0057 Issued in NC
Legal business name
GUARDIAN HEALTH SERVICES
Practice address
328 Mulberry St SW
Suite 4
Lenoir, NC 28645-5717
Phone
(828) 757-9444
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Peggy S Mallard, MAED
Title
Executive Director
Phone
(828) 324-3025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC0057 NC Primary

Addresses

Primary practice location

328 Mulberry St SW
Suite 4
Lenoir, NC 28645-5717

Mailing address

343 2ND St NW
Hickory, NC 28601-4904
Phone (828) 324-3025

Other identifiers 3

IdentifierTypeStateIssuer
6600845MedicaidNC
7100451OtherNCPRIVATE DUTY
3409446MedicaidNC

National Provider Directory

National Provider Directory

Locations

328 Mulberry St SW
Unit 4
Lenoir, NC 28645
Phone (828) 757-9444

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639127863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 2ND ST NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014904",
            "telephone_number": "828-324-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 MULBERRY ST SW",
            "address_2": "SUITE 4",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455717",
            "telephone_number": "828-757-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALLARD",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-324-3025",
        "authorized_official_credential": "MAED"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600845",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE DUTY",
            "identifier": "7100451",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409446",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.