Organization Active NPI

Guardian Health Services LLC

  • Home Health Agency
  • Hickory, NC
National Provider Identifier
1922005057
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC0057 Issued in NC
Legal business name
GUARDIAN HEALTH SERVICES LLC
Practice address
100 Main Ave NW Ste 200
Hickory, NC 28601-6200
Phone
(828) 324-3025
Fax
(828) 324-1930
NPI assigned
Jul 5, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Peggy S. Mallard
Title
Executive Director
Phone
(828) 324-3025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC0057 NC Primary

Addresses

Primary practice location

100 Main Ave NW Ste 200
Hickory, NC 28601-6200

Mailing address

100 Main Ave NW Ste 200
Hickory, NC 28601-6200
Phone (828) 324-3025

Other identifiers 2

IdentifierTypeStateIssuer
347085OtherMEDICARE PROVIDER
3417085MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

100 Main Ave NW
Ste 200
Hickory, NC 28601
Phone (828) 324-3025

1771 Tate Blvd SE
#101A
Hickory, NC 28602

343 2nd St NW
Hickory, NC 28601
Phone (828) 324-3025

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Dec 1, 2018 Change of OwnershipThis provider was the seller North Carolina in-Home Partner-IX, LLCCCN 347085, NC, NPI 1487132866

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922005057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAIN AVE NW STE 200",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016200",
            "telephone_number": "828-324-3025",
            "fax_number": "828-324-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAIN AVE NW STE 200",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016200",
            "telephone_number": "828-324-3025",
            "fax_number": "828-324-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MALLARD",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-324-3025",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "347085",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3417085",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.