Active NPI
Guardian Health Services LLC
- Home Health Agency
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC0057
- 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, 2022
- 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
- Mrs. Peggy S. Mallard
- Title
- Executive Director
- Phone
- (828) 324-3025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 347085 | Other | MEDICARE PROVIDER | |
| 3417085 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Digestive Health Center
- Gastroenterology Physician
- Lenoir, NC
- NPI 1871830679
Member Of
-
dba Frye Regional Medical Center
- Rehabilitation Hospital Unit
- Hickory, NC
- NPI 1275557654
Member Of
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
| Date | Event | Counterparty |
|---|---|---|
| Dec 1, 2018 | Change of Ownership | North Carolina in-Home Partner-IX, LLC |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Guardian Home Health
- Home Health Agency
- Hickory, NC
- NPI 1487132866
Sold to, 2018-12-01
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.
-
- Speech-Language Pathologist
- Hickory, NC
- NPI 1457732463
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.