Organization Active NPI

Guardian Home Healthcare LLC

  • Home Health Agency
  • Deland, FL
National Provider Identifier
1952155038
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GUARDIAN HOME HEALTHCARE LLC
Practice address
1575 S Sr 15a Ste 600
Deland, FL 32720-7822
Phone
(386) 282-4234
Fax
(386) 282-4234
NPI assigned
Apr 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Adisle Garcia
Title
President
Phone
(386) 282-4234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1575 S Sr 15a Ste 600
Deland, FL 32720-7822

Mailing address

1575 S Sr 15a Ste 600
Deland, FL 32720-7822
Phone (386) 282-4234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250919002899 FL Part A Provider - Home Health Agency 4981108099 Practice locations: Deland, FL

Home health agency certification: CCN 687426

Legal name
GUARDIAN HOME HEALTHCARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 23, 2025
Last certification
Dec 5, 2025
Organization structure
LLCProprietary
Enrollment address
1575 S Sr 15a
Ste 600
Deland, FL 32720-7822

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2315604Guardian Home Healthcare LLC1575 Sr 15a South, Suite 600, Deland, FL 32720Certificate of waiverDec 16, 2026

National Provider Directory

National Provider Directory

Locations

1575 S Sr 15a
Ste 600
Deland, FL 32720
Phone (386) 282-4234

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Pedro Garcia Individual 5% Or Greater Direct Ownership InterestOwner Feb 16, 2024 20%
Corporate DirectorVice President,Treasurer Feb 16, 2024 50%
Anisle Wilcox Individual 5% Or Greater Direct Ownership InterestOwner Feb 16, 2024 20%
Corporate DirectorSecretary Feb 16, 2024 25%
Kevin Wilcox Individual 5% Or Greater Direct Ownership InterestOwner Feb 16, 2024 20%
Adisle Garcia Individual 5% Or Greater Direct Ownership InterestOwner Feb 16, 2024 40%
Corporate DirectorPresident Feb 16, 2024 25%
W-2 Managing EmployeeAd; Feb 16, 2024 100%

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1952155038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 S SR 15A STE 600",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327207822",
            "telephone_number": "386-282-4234",
            "fax_number": "386-282-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 S SR 15A STE 600",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327207822",
            "telephone_number": "386-282-4234",
            "fax_number": "386-282-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ADISLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-282-4234"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.