Guardian Family Care, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

3000309 Issued in IL

Legal business name

GUARDIAN FAMILY CARE, INC.

Practice address

1698 Iowa Dr
Le Claire, IA 52753-9231

Phone

(563) 289-5229

Fax

(563) 289-3444

NPI assigned

Feb 2, 2009

Last updated

Feb 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Beverly D Mital

Title

Ceo/President

Phone

(563) 289-5229

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1790923506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 IOWA DR",
            "address_2": "PO BOX 37",
            "city": "LE CLAIRE",
            "state": "IA",
            "postal_code": "527539231",
            "telephone_number": "563-289-5229",
            "fax_number": "563-289-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 IOWA DR",
            "city": "LE CLAIRE",
            "state": "IA",
            "postal_code": "527539231",
            "telephone_number": "563-289-5229",
            "fax_number": "563-289-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN FAMILY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "MITAL",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "563-289-5229",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X000453274",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley T Dewall, MD
• Mat Eveleth
• Heather Freyermuth, OTR/L
• Genesis Health System (Genesis Health Group)
• Kathryn Elaine Griffith, ARNP, PMHNP-B.C.
• Rose Hoenig, RD
• Kautz Chiropractic, LLC
• Courtney Linn Kautz, D.C.
• Kitzman Chiropractic & Acupuncture Professional Corporation
• Jay Kitzman, DC

• In Home Supportive Care Agency in Le Claire, IA
• Providers in Le Claire, IA by specialty
• In Home Supportive Care Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.