Organization Active NPI

Home Guard Private Home Care LLC

Doing business as My Home Guard Care LLC

  • In Home Supportive Care Agency
  • Conyers, GA
National Provider Identifier
1972312569
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOME GUARD PRIVATE HOME CARE LLC
Doing business as
My Home Guard Care LLC
Practice address
1775 Parker Rd SE Ste 315
Conyers, GA 30094-6654
Phone
(404) 330-9890
NPI assigned
Jan 7, 2025
Last updated
Jun 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Cliford Mbincho
Title
Ceo
Phone
(404) 330-9890

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

1775 Parker Rd SE Ste 315
Conyers, GA 30094-6654

Mailing address

1775 Parker Rd SE Ofc 315
Conyers, GA 30094-6654
Phone (404) 330-9890

Other names 2

  • My Home Guard Care LLC Doing business as
  • Home Guard Private Home Care LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1775 Parker Rd SE
Ofc 315
Conyers, GA 30094

1775 Parker Rd SE
Ste 315
Conyers, GA 30094
Phone (404) 330-9890

NPI Registry JSON

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1972312569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 PARKER RD SE OFC 315",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946654",
            "telephone_number": "404-330-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 PARKER RD SE STE 315",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946654",
            "telephone_number": "404-330-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME GUARD PRIVATE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "MBINCHO",
        "authorized_official_first_name": "CLIFORD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-330-9890"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Home Guard Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Guard Private Home Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.