Eternal Guardian Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ETERNAL GUARDIAN HOME HEALTH CARE LLC

Practice address

1505 W Oak St Ste 140
Zionsville, IN 46077-2058

Phone

(317) 407-3616

Fax

(877) 804-2638

NPI assigned

Aug 1, 2024

Organization subpart

No

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

Authorized official

Name

Kafuba Donzon

Title

Ceo

Phone

(678) 860-9669

Specialties & licenses 1

Addresses

Other names 1

• Eternal Guardian Home Health Care Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Home health agency certification: CCN 15K223

Legal name

ETERNAL GUARDIAN HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 25, 2025

Last certification

Sep 11, 2025

Ownership / control type

Proprietary

Facility address

1505 Oak Street ste. 140
Zionsville, IN 46077

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1730919192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 W FERGUSON RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468093157",
            "telephone_number": "317-407-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W OAK ST STE 140",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460772058",
            "telephone_number": "317-407-3616",
            "fax_number": "877-804-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL GUARDIAN HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "DONZON",
        "authorized_official_first_name": "KAFUBA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-860-9669"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eternal Guardian Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eternal Guardian Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Zionsville, IN
• Providers in Zionsville, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.