GUARDIAN CARE LLC. (NPI# 1578823928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578823928 |
| Entity Type | Organization |
| Organization Name | GUARDIAN CARE LLC. |
| Practice Address |
104 W Railroad Ave N Crystal Springs MS 39059-2154 |
| Mailing Address |
408 Stonewater Cv Madison MS 39110-4405 |
| Practice Telephone | 6014159533 |
| Mailing Telephone | 6014159533 |
| Enumeration Date | 2012-05-19 |
| Last Update Date | 2016-06-28 |
| Authorized Official Name | MRS. ANNA W OBERHOUSEN (ADMINISTRATOR) |
| Authorized Official Telephone | 6014159533 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09574731 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | GUARDIAN CARE LLC | 253 Mannings Lane, Virginia Beach, Virginia 23462 |
| Street Address |
104 W RAILROAD AVE N |
| City | CRYSTAL SPRINGS |
| State | MS |
| Zip Code | 39059-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235254517 | Physiotherapy Associates Inc | Clinic/Center | 104 W Railroad Ave N, Crystal Springs, MS 39059-2154 | 2007-03-19 |
| 1841554516 | Nicholas Johnson | Physical Therapist | 104 W Railroad Ave N, Crystal Springs, MS 39059-2154 | 2012-06-27 |
| 1598958092 | Robert Bradley Woods | Physical Therapy Assistant | 104 W Railroad Ave N, Crystal Springs, MS 39059-2154 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003375411 | Neuro Rehabcare-tass | Rehabilitation Unit | 512 Harmony Road, Crystal Springs, MS 39059 | 2019-03-15 |
| 1447510581 | Baptist Jackson Heart Cardiology Clinic-crystal Springs | Internal Medicine | 123 Bobo Drive, Crystal Springs, MS 39059 | 2012-05-23 |
| 1134438757 | William Robert Myers | Pharmacist | 25096 Highway 51, Fred's Pharmacy # 1489, Crystal Springs, MS 39059 | 2010-09-30 |
| 1679770507 | Lucas Nathaniel Watson | Social Worker | 34132 Hwy 28 East, Crystal Springs, MS 39059 | 2007-07-03 |
| 1699818948 | Jerry Babb Gulledge | Family Medicine | 408 East Railroad Avenue North, Crystal Springs, MS 39059 | 2007-02-15 |
| 1306903844 | Onous J Wells Jr. | Dentist | 304 Harmony Road, Crystal Springs, MS 39059 | 2007-01-03 |
| 1073608881 | Melanie B Austin | Occupational Therapist | 104 West Railroad Ave. North, Crystal Springs, MS 39059 | 2006-10-04 |
| 1972603819 | Copiah Medical Associates, LLP | Family Medicine | 123 Bobo Dirve, Crystal Springs, MS 39059 | 2006-09-22 |
| 1467554378 | Albert J. Singletary, Inc | Dentist | 707 West Georgetown St., Crystal Springs, MS 39059 | 2006-09-01 |
| 1225004948 | Cds Home Care, Inc | Durable Medical Equipment & Medical Supplies | 119 Bobo Dr, Crystal Springs, MS 39059 | 2006-02-23 |
| Find all providers in zip 39059 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662626 | Hair Rehab | Clinic/Center | 313 Holland St, Anguilla, MS 38721-3872 | 2020-09-04 |
| 1326688185 | Brittney Debose | Clinic/Center | 16016 Lemoyne Blvd Apt 912, Biloxi, MS 39532-5186 | 2020-01-09 |
| 1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
| 1215575675 | The Abigayle Adult Day Care | Clinic/Center | 205 Industrial Cv, Ridgeland, MS 39157-2715 | 2019-12-17 |
| 1053977298 | Cal-wal Southern, LLC | Clinic/Center | 114 W Walker St, Greenville, MS 38701-4755 | 2019-05-14 |
| 1083171334 | Beverly Forrest-butts | Clinic/Center | 407 Nw Depot St, Durant, MS 39063-3705 | 2019-02-22 |
| 1023574183 | Quality Lives Assisted Living LLC | Clinic/Center | 226 Pauline St, Greenville, MS 38701-7012 | 2019-02-13 |
| 1619431210 | Deborah D Gibbs | Clinic/Center | 1403 S Broadway, Shelby, MS 38774 | 2019-01-28 |
| 1346712023 | Faith and Hope Adult Daycare | Clinic/Center | 737 N State St, Jackson, MS 39202-3006 | 2018-12-19 |
| 1013488923 | Covenant Adult Day Care of Tunica | Clinic/Center | 1041 Highway 61 S Ste 3, Tunica, MS 38676-9130 | 2018-12-17 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL SPRINGS |
| Zip Code | 39059 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.