Organization Active NPI

Guardian Home Health Care LLC

  • Home Health Agency
  • West Bridgewater, MA
National Provider Identifier
1992993810
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GUARDIAN HOME HEALTH CARE LLC
Practice address
750 W Center St FL 3
West Bridgewater, MA 02379-1545
Phone
(508) 588-5811
Fax
(508) 588-5221
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Svetlana Driscoll
Title
Administrator
Phone
(617) 930-5712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

750 W Center St FL 3
West Bridgewater, MA 02379-1545

Mailing address

750 W Center St FL 3
West Bridgewater, MA 02379-1545
Phone (508) 588-5811

Other identifiers 1

IdentifierTypeStateIssuer
0608645MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071107000319 MA Part A Provider - Home Health Agency 0345337366 Practice locations: West Bridgewater, MA

Home health agency certification: CCN 227504

Legal name
GUARDIAN HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 26, 2008
Last certification
Jan 17, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 2, 2007 in MA
Enrollment address
750 W Center St
FL 3
West Bridgewater, MA 02379-1545
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Guardian Home Health Care, LLCCCN 227504
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Mar 26, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy

National Provider Directory

National Provider Directory

Locations

1244 Broadway
Unit 6
Raynham, MA 02767
Phone (508) 977-1260

320 W Center St
Ste 2
West Bridgewater, MA 02379
Phone (508) 588-5811

750 W Center St
Fl 3
West Bridgewater, MA 02379
Phone (508) 588-5811

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
James Marra Individual Operational/Managerial Control Jan 1, 2017
Svetlana Driscoll Individual 5% Or Greater Direct Ownership InterestOwner Mar 26, 2017 100%
Operational/Managerial ControlManager Jul 1, 2009 100%

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1992993810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W CENTER ST FL 3",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791545",
            "telephone_number": "508-588-5811",
            "fax_number": "508-588-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W CENTER ST FL 3",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791545",
            "telephone_number": "508-588-5811",
            "fax_number": "508-588-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "617-930-5712"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0608645",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bridgewater, MA

Sources for this page

Verify at the official NPI Registry.