Active NPI
Guardian Home Care Services,LLC
- Adult Companion
- Jacksonville, FL
National Provider Identifier
1821536046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Legal business name
- GUARDIAN HOME CARE SERVICES,LLC
- Practice address
- 50 N Laura St Ste 2500
Jacksonville, FL 32202-3646 - Phone
- (904) 572-2162
- NPI assigned
- Feb 8, 2017
- 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
- Vanessa Alicia Chapman, LPN
- Title
- Administrator
- Phone
- (904) 572-2162
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | FL | ||
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
50 N Laura St Ste 2500
Jacksonville, FL 32202-3646
Mailing address
50 N Laura St Ste 2500
Jacksonville, FL 32202-3646
Phone (904) 572-2162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104508700 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Guardian Home Care Servicesllc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Licensed Practical Nurse
- Jacksonville, FL
- NPI 1871955799
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1821536046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 N LAURA ST STE 2500",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322023646",
"telephone_number": "904-572-2162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N LAURA ST STE 2500",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322023646",
"telephone_number": "904-572-2162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN HOME CARE SERVICES,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-08",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "CHAPMAN",
"authorized_official_first_name": "VANESSA",
"authorized_official_middle_name": "ALICIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "904-572-2162",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104508700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.