Active NPI
Hpdtra Guardian Living Services LLC
- In Home Supportive Care Agency
- Fort Wayne, IN
National Provider Identifier
1750299582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- HPDTRA GUARDIAN LIVING SERVICES LLC
- Practice address
- 1611 E Fairfax Ave
Fort Wayne, IN 46806-3243 - Phone
- (260) 239-8364
- NPI assigned
- Sep 1, 2026
- 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
- Mr. Muhammed Ha Sin
- Title
- Owner / Administrator
- Phone
- (260) 239-8364
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1611 E Fairfax Ave
Fort Wayne, IN 46806-3243
Mailing address
1611 E Fairfax Ave
Fort Wayne, IN 46806-3243
Phone (260) 239-8364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788220800000",
"number": "1750299582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 E FAIRFAX AVE",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468063243",
"telephone_number": "260-239-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 E FAIRFAX AVE",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468063243",
"telephone_number": "260-239-8364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HPDTRA GUARDIAN LIVING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A",
"authorized_official_last_name": "SIN",
"authorized_official_first_name": "MUHAMMED",
"authorized_official_middle_name": "HA",
"authorized_official_title_or_position": "OWNER / ADMINISTRATOR",
"authorized_official_telephone_number": "260-239-8364",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.