Organization Active NPI

Guardian Home Care LLC

  • Home Health Agency
  • McAllen, TX
National Provider Identifier
1881206472
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GUARDIAN HOME CARE LLC
Practice address
612 W Nolana Ave Ste 570-B1
McAllen, TX 78504-3026
Phone
(956) 631-4421
Fax
(956) 631-5540
NPI assigned
Aug 17, 2020
Last updated
Jul 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Mayte Garza
Title
Ceo & Administrator
Phone
(956) 631-4421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

612 W Nolana Ave Ste 570-B1
McAllen, TX 78504-3026

Mailing address

612 W Nolana Ave Ste 570-B1
McAllen, TX 78504-3026
Phone (956) 631-4421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210913003468 TX Part A Provider - Home Health Agency 2567868797 Practice locations: McAllen, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881206472. Details of each certification follow.

Home health agency certification: CCN 748075

Legal name
GUARDIAN HOME CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 16, 2022
Last certification
Oct 27, 2022
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 10, 2020 in TX
Enrollment address
612 W Nolana Ave
Ste 570B
McAllen, TX 78504-3971

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Guardian Home Care LLCCCN 748075 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Nov 16, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Guardian Home Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

612 W Nolana Ave
Ste 570B1
McAllen, TX 78504
Phone (956) 631-4421

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mayte Garcia Individual 5% Or Greater Direct Ownership InterestManaging Partner Mar 10, 2020 50%
W-2 Managing EmployeeAdministrator Jul 5, 2021 100%
David Garcia Individual 5% Or Greater Direct Ownership InterestManaging Partner Mar 10, 2020 50%

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1881206472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W NOLANA AVE STE 570-B1",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043026",
            "telephone_number": "956-631-4421",
            "fax_number": "956-631-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W NOLANA AVE STE 570-B1",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043026",
            "telephone_number": "956-631-4421",
            "fax_number": "956-631-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "MAYTE",
        "authorized_official_title_or_position": "CEO & ADMINISTRATOR",
        "authorized_official_telephone_number": "956-631-4421"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.