Organization Active NPI

Guerdian Home Health Care Service Inc

  • In Home Supportive Care Agency
  • Minneapolis, MN
National Provider Identifier
1730947045
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GUERDIAN HOME HEALTH CARE SERVICE INC
Practice address
4020 Minnehaha Ave # 1085
Minneapolis, MN 55406-4529
Phone
(612) 703-9939
NPI assigned
Mar 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Taman Abdi
Title
Owner
Phone
(612) 703-9939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4020 Minnehaha Ave # 1085
Minneapolis, MN 55406-4529

Mailing address

4020 Minnehaha Ave # 1085
Minneapolis, MN 55406-4529
Phone (612) 703-9939

Other names 1

  • Guardian Home Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

4020 Minnehaha Ave
#1085
Minneapolis, MN 55406
Phone (612) 703-9939

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1730947045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 MINNEHAHA AVE # 1085",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554064529",
            "telephone_number": "612-703-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 MINNEHAHA AVE # 1085",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554064529",
            "telephone_number": "612-703-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUERDIAN HOME HEALTH CARE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "TAMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-703-9939"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.