GUARDIAN IN HOME HEALTH & SECURITY, LLC (NPI# 1639409014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639409014 |
| Entity Type | Organization |
| Organization Name | GUARDIAN IN HOME HEALTH & SECURITY, LLC |
| Practice Address |
14907 125th St Glencoe MN 55336-4613 |
| Practice Telephone | 3208646544 |
| Practice Fax Number | 3208646544 |
| Mailing Telephone | 3208646544 |
| Mailing Fax Number | 3208646544 |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |
| Authorized Official Name | SONYA LYNN BORG (OFFICE MANAGER/CO-OWNER) |
| Authorized Official Telephone | 3208646544 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 345070 | MN | Agencies |
| Street Address |
14907 125TH ST |
| City | GLENCOE |
| State | MN |
| Zip Code | 55336-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972878809 | Sarah Mollie Yager | Technician | 14907 125th St, Glencoe, MN 55336-4613 | 2012-03-10 |
| 1699040527 | Laura Junker | Technician | 14907 125th St, Glencoe, MN 55336-4613 | 2012-03-10 |
| 1144595075 | Adam Anderson | Technician | 14907 125th St, Glencoe, MN 55336-4613 | 2012-03-10 |
| 1336414267 | Rosetta Stewart-boney | Technician | 14907 125th St, Glencoe, MN 55336-4613 | 2012-03-10 |
| 1518232446 | Andrea Leigh Kress | Technician | 14907 125th St, Glencoe, MN 55336-4613 | 2012-03-10 |
| 1023302031 | Sonya Lynn Leaveck Borg | Technician | 14907 125th St, Glencoe, MN 55336-4613 | 2011-06-07 |
| 1366736449 | Heather Joan Couch | Technician | 14907 125th St, Glencoe, MN 55336-4613 | 2011-06-06 |
| 1982998001 | Niels Korsholm Billund | Registered Nurse | 14907 125th St, Glencoe, MN 55336-4613 | 2011-06-06 |
| 1861786014 | Lianna Kae Garceau | Technician | 14907 125th St, Glencoe, MN 55336-4613 | 2011-06-06 |
| 1154615235 | Andrew Cole Fiecke | Technician | 14907 125th St, Glencoe, MN 55336-4613 | 2011-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316429160 | Lisa M Thompson | Speech-Language Pathologist | 2105 Hennepin Avenue North, Glencoe, MN 55336 | 2018-08-29 |
| 1609207943 | Sherry Sue Henkelmann | Respite Care | 7768-160th St., Glencoe, MN 55336 | 2013-12-12 |
| 1528277449 | Kelly Jo Higgins | Pharmacist | 2211 11th St. E., Glencoe, MN 55336 | 2007-05-21 |
| 1124180450 | Randy Robert Johnson | Chiropractor | 1706 East Tenth Street, Gauer Chiropractic Clinic, Glencoe, MN 55336 | 2006-12-14 |
| 1790863751 | Merrill D Nelson | Dentist | 1015 Greeley Ave, Glencoe, MN 55336 | 2006-11-01 |
| 1902982481 | Michelle Marie Quale | Registered Nurse | 1805 Hennepin Ave. North, Glencoe Regional Health Services, Glencoe, MN 55336 | 2006-10-27 |
| 1417912122 | Lee Medical Inc | Durable Medical Equipment & Medical Supplies | 1209 Greeley Avenue, Glencoe, MN 55336 | 2006-04-18 |
| 1154319705 | Kristine Leonard Knudten | Family Medicine | 1805 Hennepin Ave North, Glencoe, MN 55336 | 2005-10-07 |
| 1285120477 | Nicole Nash | Registered Nurse | 1805 Hennepin Ave N, Glencoe, MN 55336 | 2018-07-10 |
| 1841640091 | Rachael Stoebe | Hearing Instrument Specialist | 2915 10th St E, Glencoe, MN 55336 | 2016-06-20 |
| Find all providers in zip 55336 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770399 | Tender Care Providers LLC | Home Health | 1794 Switchgrass Cir, Shakopee, MN 55379-8533 | 2020-11-07 |
| 1194326942 | Shakur Abdisalam | Home Health | 1440 E Old Shakopee Rd, Bloomington, MN 55425-2438 | 2020-11-06 |
| 1821699182 | Immediate Home Health Care LLC | Home Health | 2817 Anthony Ln S Ste 210, St Anthony, MN 55418-2488 | 2020-11-03 |
| 1093315780 | Eco Green Corporation | Home Health | 3274 98th Cir N, Brooklyn Park, MN 55443-1846 | 2020-10-30 |
| 1841899846 | Hands On Care | Home Health | 1550 Larpenteur Ave W Apt 423, Falcon Heights, MN 55113-6364 | 2020-10-21 |
| 1326646191 | Rose Pratt | Home Health | 121 83rd Ave Ne Apt 310, Fridley, MN 55432-1893 | 2020-10-14 |
| 1255939369 | Mn Health LLC | Home Health | 784 Cougar Dr, Eagan, MN 55123-2069 | 2020-10-12 |
| 1942807672 | Twin Cities Group Homes LLC | Home Health | 711 22nd Ave Ne, Minneapolis, MN 55418-3601 | 2020-10-06 |
| 1801493721 | Shifaa Care Inc | Home Health | 7038 Brooklyn Blvd Unit D, Brooklyn Center, MN 55429-1370 | 2020-10-04 |
| 1841807450 | Shire Homecare Agency | Home Health | 618 9th Ave S Apt 307, Minneapolis, MN 55415-4608 | 2020-09-28 |
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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.