Guardian Home Care, LLC
Organization Active NPI Home Health Agency · Roswell, GA
NPI 1992736227 · NPPES record last updated Aug 12, 2022
Key facts
- NPI
- 1992736227
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 060264 (GA)
- Legal business name
- GUARDIAN HOME CARE, LLC
- Practice address
- 11660 Alpharetta Hwy Ste 440
Roswell, GA 30076-3880 - Phone
- (770) 664-9272
- Fax
- (770) 664-9992
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Heather Siscel
- Title
- VP Legal
- Phone
- (224) 221-0465
Facilities with the same owner 114
Affiliated clinicians 316
-
Samuel F Adams, M.D.
-
Kelly J. Ahn, M.D.
-
Maho Akamatsu, MD
-
Adebayo A Akintobi, M.D., M.P.H.
-
Adam Albano, MD
-
Olatunji B. Alese, M.D.
-
Adam Anglyn, D.O
-
Adil M Ansari, MD
-
Meghana Anugu, M.D.
-
Nasir Ali Asghar, M.D.
-
Paul T Baird, MD
-
Sandra K Banks, M.D.
-
Sabine M Barlatt, DO
-
Sander Robert Binderow, M.D.
-
Brenton L Black, MD
-
Nicholas Boleman, MD
-
Jeremy D Boyd, M.D.
-
Ryan Bozof, MD
-
Mark Bradshaw, M.D
Medicare Care Compare: Home health agency
- Listed as
- Accentcare Home Health of Georgia
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Proprietary
- Certified
- Oct 3, 2002
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0999942 | Guardian Home Care, LLC | Certificate of waiver | May 28, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Home health agency certification: CCN 117131
- Legal name
- GUARDIAN HOME CARE, LLC
- Doing business as
- ACCENTCARE HOME HEALTH OF GEORGIA
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 3, 2002
- Last certification
- Oct 4, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Enrollment address
- 11660 Alpharetta Hwy
Ste 440
Roswell, GA 30076-3880
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Advent International Gpe VIII-B, L.P. |
5% Or Greater Indirect Ownership Interest | Jun 20, 2019 | 15.1% |
| Horizon Acquisition Co Inc. |
5% Or Greater Indirect Ownership Interest | Jun 20, 2019 | 100% |
| Advent International Gpe VIII-H, L.P. |
5% Or Greater Indirect Ownership Interest | Jun 20, 2019 | 5.5% |
| Horizon Group Holdings Intermediate 2, Inc. |
5% Or Greater Indirect Ownership Interest | Jun 20, 2019 | 100% |
| Seasons Rollover Holdings LLC |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 15.4% |
| Guardian Home Care Holdings Inc |
5% Or Greater Direct Ownership Interest | Sep 9, 2005 | 100% |
| Horizon Group Holdings Intermediate 1, Inc. |
5% Or Greater Indirect Ownership Interest | Jun 20, 2019 | 100% |
| Advent International Gpe VIII-I, L.P. |
5% Or Greater Indirect Ownership Interest | Jun 20, 2019 | 5.1% |
| Horizon Group Holdings, L.P. |
5% Or Greater Indirect Ownership Interest | Jun 20, 2019 | 100% |
| Stephan Rodgers |
Corporate Officer | Aug 30, 2012 | |
| Advent International Gpe VIII-J LP |
5% Or Greater Indirect Ownership Interest | Jun 20, 2019 | 5% |
| Advent International Gpe VIII-B-1, L.P. |
5% Or Greater Indirect Ownership Interest | Jun 20, 2019 | 5.4% |
| Advent International Gpe VIII-B-3, L.P. |
5% Or Greater Indirect Ownership Interest | Jun 20, 2019 | 6.3% |
| Advent International Gpe VIII-a LP |
5% Or Greater Indirect Ownership Interest | Jun 20, 2019 | 11.2% |
| Accentcare, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 22, 2010 | 100% |
| Dena Schwartz-Doty |
Corporate Officer |
Apr 1, 2015 | |
| Dexter Raimey |
W-2 Managing Employee |
May 16, 2022 | |
| Pluto Acquisition I Inc |
5% Or Greater Indirect Ownership Interest | Dec 22, 2010 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060315000656 | GA | Part a Provider - Home Health Agency | 1850308800 | Practice locations: Decatur, GA; Hapeville, GA; Kennesaw, GA; Roswell, GA |
National Provider Directory
Locations
2300 Camp Creek Pkwy
Ste 225
College Park, GA 30337
Phone (423) 653-0176
484 Irvin Ct
#210
Decatur, GA 30030
Phone (404) 297-1181
484 Winn Way
Decatur, GA 30030
Phone (770) 664-9272
1003 Virginia Ave
Ste 300
Hapeville, GA 30354
Phone (770) 909-3224
11660 Alpharetta Hwy
Ste 440
Roswell, GA 30076
Phone (770) 664-9272
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 060264 | GA | Yes |
Addresses
Primary practice location
11660 Alpharetta Hwy Ste 440
Roswell, GA 30076-3880
Mailing address
17855 Dallas Pkwy
Suite 200
Dallas, TX 75287-6852
Phone (972) 267-1100
Other names
- AccentCare Home Health of Georgia
Other providers in Roswell, GA
- Grisham Associates, LTD.
- Joanna W. Grisham
- Benjamin Grodin
- Dana Grooms
- Groundbreaking Guidance Services, LLC
- Guardian Personal Care Services of Georgia LLC
- Suzanne H Gudakunst
- Kristen Elise Gue
- Jose Guevara
- Guided Motion, LLC
All providers in Roswell, GA · Home Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.