Guardian Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO-07344 Issued in VA

Legal business name

GUARDIAN HOMECARE LLC

Practice address

1700 Willow Lawn Dr
Suite #210
Richmond, VA 23230-3003

Phone

(804) 282-9999

Fax

(804) 282-5555

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Joni Marie Hemmis

Title

Administrator

Phone

(804) 282-9999

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1801838511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WILLOW LAWN DR.",
            "address_2": "SUITE #210",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303409",
            "telephone_number": "804-282-9999",
            "fax_number": "804-282-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WILLOW LAWN DR",
            "address_2": "SUITE #210",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303003",
            "telephone_number": "804-282-9999",
            "fax_number": "804-282-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "HEMMIS",
        "authorized_official_first_name": "JONI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-282-9999",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-07344",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801838511",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010169551",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010169542",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lesley Grzybowski, PMHNP
• Ja Hea Gu, M.D.
• Yaoming Gu, M.D.
• Antonia Marie Guardarrama, AGACNP-BC
• Guardian Healthcare, Inc.
• Guardian Medical Transit LLC
• Guardian Residential Services, Inc.
• Susan Lee Guckenberg, LCSW
• Magda Gucwa, BCBA
• Pratyusha Reddy Gudipally, MD

• Home Health Agency in Richmond, VA
• Providers in Richmond, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.