Active NPI
Guardian Health Care Inc
- Nurse's Aide
- House Springs, MO
National Provider Identifier
1649318072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Legal business name
- GUARDIAN HEALTH CARE INC
- Practice address
- 5405 Old State Route 21
House Springs, MO 63051-2439 - Phone
- (636) 942-4417
- Fax
- (636) 942-5997
- NPI assigned
- Feb 1, 2007
- 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
- Ms. Marjory Mae Laronge
- Title
- Director
- Phone
- (636) 942-4417
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | MO | ||
| Home Health Registered Nurse | 163WH0200X | MO | ||
| Nursing Care Agency | 251J00000X | MO | ||
| Health Maintenance Organization | 302R00000X | MO | ||
| Chore Provider | 372500000X | MO | ||
| Adult Companion | 372600000X | MO | ||
| Personal Care Attendant | 3747P1801X | MO | ||
| Homemaker | 376J00000X | MO | ||
| Nurse's Aide | 376K00000X | MO | Primary |
Addresses
Primary practice location
5405 Old State Route 21
House Springs, MO 63051-2439
Mailing address
5405 Old State Route 21
House Springs, MO 63051-2439
Phone (636) 942-4417
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262957905 | Medicaid | MO | |
| 282957901 | Medicaid | MO | |
| 00001152 | Other | MO | SSBG |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224547200000",
"number": "1649318072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5405 OLD STATE ROUTE 21",
"city": "HOUSE SPRINGS",
"state": "MO",
"postal_code": "630512439",
"telephone_number": "636-942-4417",
"fax_number": "636-942-5997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5405 OLD STATE ROUTE 21",
"city": "HOUSE SPRINGS",
"state": "MO",
"postal_code": "630512439",
"telephone_number": "636-942-4417",
"fax_number": "636-942-5997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2008-10-21",
"status": "A",
"authorized_official_last_name": "LARONGE",
"authorized_official_first_name": "MARJORY",
"authorized_official_middle_name": "MAE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "636-942-4417",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "MO",
"license": null,
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": "MO",
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "MO",
"license": null,
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "MO",
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chore Provider",
"state": "MO",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": "MO",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": "MO",
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": "MO",
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262957905",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "282957901",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSBG",
"identifier": "00001152",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in House Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.