Organization Active NPI

Guardian Home Care LLC

  • In Home Supportive Care Agency
  • Dumfries, VA
National Provider Identifier
1760192066
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GUARDIAN HOME CARE LLC
Practice address
4117 Presidential Hill Loop
Dumfries, VA 22025-3635
Phone
(703) 342-2937
NPI assigned
Nov 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Luis Amaya
Title
Vice President/Treasurer
Phone
(703) 342-2987

Specialties & licenses 1

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

Addresses

Primary practice location

4117 Presidential Hill Loop
Dumfries, VA 22025-3635

Mailing address

4117 Presidential Hill Loop
Dumfries, VA 22025-3635

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1760192066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 PRESIDENTIAL HILL LOOP",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220253635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 PRESIDENTIAL HILL LOOP",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220253635",
            "telephone_number": "703-342-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "AMAYA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "VICE PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "703-342-2987"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.