Martha Guardado, 311ZA0620X

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AF410381126 Issued in MI

Practice address

5689 Gentian CT SE
Kentwood, MI 49508-6403

Phone

(616) 325-0222

NPI assigned

Jun 9, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496966400000",
    "number": "1952830143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5689 GENTIAN CT SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086403",
            "telephone_number": "616-325-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5689 GENTIAN CT SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086403",
            "telephone_number": "616-325-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARDADO",
        "first_name": "MARTHA",
        "name_prefix": "Miss",
        "credential": "311ZA0620X",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2017-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AF410381126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrine Gretzmacher
• Vahe Grigoryan
• Keisha Terese Grimmett, CCC-SLP
• Michael W Grof, D.O.
• Grounded Minds Counseling PLLC
• Joel Freamon Gugnitz, D.C.
• Guiding Light Afc LLC
• Katie Renee Guinot, PHARM.D.
• Karren Shaalini Gunalan
• Jeanne Gundersen, LLC

• Adult Care Home Facility in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.