NPIMap

Organization Active NPI

Guardian Community Rehabilitation Services

Doing business as Nesburg Inc

  • Home Health Agency
  • Owings Mills, MD
National Provider Identifier
1811374804
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R3420R Issued in MD
Legal business name
GUARDIAN COMMUNITY REHABILITATION SERVICES
Doing business as
Nesburg Inc
Practice address
11240 Reisterstown Rd
Suite C-5
Owings Mills, MD 21117-1965
Phone
(410) 800-4572
Fax
(410) 286-1923
NPI assigned
Apr 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Mr. George Oluwole Obatuase
Title
Administrator
Phone
(410) 800-4572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R3420R MD Primary

Addresses

Primary practice location

11240 Reisterstown Rd
Suite C-5
Owings Mills, MD 21117-1965

Mailing address

11240 Reisterstown Rd
Suite C-5
Owings Mills, MD 21117-1965
Phone (410) 800-4572

Other identifiers 1

IdentifierTypeStateIssuer
2224003P0001MedicaidMD

Other names 1

  • Nesburg Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Guardian Community Rehabilitation Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1811374804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 REISTERSTOWN RD",
            "address_2": "SUITE C-5",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171965",
            "telephone_number": "410-800-4572",
            "fax_number": "410-286-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 REISTERSTOWN RD",
            "address_2": "SUITE C-5",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171965",
            "telephone_number": "410-800-4572",
            "fax_number": "410-286-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN COMMUNITY REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "OBATUASE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "OLUWOLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-800-4572",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R3420R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2224003P0001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nesburg Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.