Organization Active NPI

Guardian Health Care Inc

  • Nurse's Aide
  • House Springs, MO
National Provider Identifier
1649318072
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
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

Updated by the provider on Oct 21, 2008

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)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X MO
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X MO
Nursing Care Agency 251J00000X MO
Health Maintenance Organization 302R00000X MO
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X MO
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X MO
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X MO
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X MO
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
262957905MedicaidMO
282957901MedicaidMO
00001152OtherMOSSBG

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.