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GUARDIAN HOME CARE SERVICESLLC NPI 1821536046


NPI Information

NPI: 1821536046
Provider Name: GUARDIAN HOME CARE SERVICES,LLC
Classification: Adult Companion - 372600000X
Entity Type: Organization
Address:
50 N LAURA ST STE 2500
JACKSONVILLE, FL
ZIP 32202
Phone: (904) 572-2162
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GUARDIAN HOME CARE SERVICES,LLC is an adult companion in Jacksonville, FL. The provider is an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. GUARDIAN HOME CARE SERVICES,LLC NPI is 1821536046. The provider is registered as an organization entity type.

The provider's business location address is:

50 N LAURA ST STE 2500
JACKSONVILLE, FL
ZIP 32202-646
Phone: (904) 572-2162

The provider's authorized official is Vanessa Alicia Chapman .
The authorized official title is Administrator and has the following contact phone number (904) 572-2162.

The enumeration date for this NPI number is 2/8/2017 and was last updated on 3/26/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251J00000XNursing CareNo
2253Z00000XIn Home Supportive CareFLORIDANo
3372600000XAdult CompanionYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1104508700MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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