NPIMap

Organization Active NPI

Guardian Home Care LLC

  • Community Based Hospice Care Agency
  • McAllen, TX
National Provider Identifier
1922720564
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GUARDIAN HOME CARE LLC
Practice address
612 W Nolana Ave Ste 570B
McAllen, TX 78504-3971
Phone
(956) 631-4421
NPI assigned
Sep 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

612 W Nolana Ave Ste 570B
McAllen, TX 78504-3971

Mailing address

612 W Nolana Ave Ste 570B
McAllen, TX 78504-3971

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221101002878 TX Part A Provider - Hospice 2567868797 Practice locations: McAllen, TX

Hospice certification: CCN A91701

Legal name
GUARDIAN HOME CARE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 12, 2024
Last certification
Dec 29, 2023
Organization structure
LLCProprietary
Incorporated
Mar 10, 2020 in TX
Enrollment address
612 W Nolana Ave
Ste 570-B1
McAllen, TX 78504

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: Hospice

Medicare Care Compare
Listed as
Guardian Home Care LLCCCN A91701
Certified
Jan 12, 2024
Medicare certification status
ActiveFrom the Provider of Services file

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.

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 InterestAdministrator Mar 10, 2020 50%
W-2 Managing EmployeeAdministrator Jul 5, 2021 50%
David Garcia Individual 5% Or Greater Direct Ownership InterestCfo Mar 10, 2020 50%
W-2 Managing EmployeeCfo Jul 5, 2021 50%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1922720564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W NOLANA AVE STE 570B",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W NOLANA AVE STE 570B",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043971",
            "telephone_number": "956-631-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "MAYTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-631-4421"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "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.