GUARDIAN HALO HEALTH CARE LLC


Address: 4341 Gautier Vancleave Road, Suite 4, Gautier, MS 39553-5824
Phone: 2284715249

GUARDIAN HALO HEALTH CARE LLC (NPI# 1093165375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093165375
Entity Type Organization
Organization Name GUARDIAN HALO HEALTH CARE LLC
Other Organization Name GUARDIAN HALO HOME HEALTH CARE
Practice Address 4341 Gautier Vancleave Road
Suite 4
Gautier
MS 39553-5824
Practice Telephone 2284715249
Practice Fax Number 2284715249
Mailing Telephone 2284715249
Mailing Fax Number 2284715249
Enumeration Date 2016-06-16
Last Update Date 2018-08-08
Authorized Official Name MR. JOHN OMONKHUALE MADOJEMIU (PRESIDENT/CEO)
Authorized Official Telephone 2284715249
Authorized Official Credential B.S, M.SC., MSM,
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management Agencies
N 251E00000X Home Health Agencies
N 251G00000X Hospice Care, Community Based Agencies
N 251J00000X Nursing Care Agencies
N 332900000X Non-Pharmacy Dispensing Site Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 335G00000X Medical Foods Supplier Suppliers
N 385HR2050X Respite Care
Specialization: Respite Care Camp
Respite Care Facility
N 385HR2060X Respite Care
Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child
Respite Care Facility
Y 385H00000X Respite Care Respite Care Facility

Other Provider/Organization Names

Other Name Type Code
Guardian Halo Home Health Care Doing Business As Name - Organization

Office Location

Street Address 4341 GAUTIER VANCLEAVE ROAD
SUITE 4
City GAUTIER
State MS
Zip Code 39553-5824

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205465044 Loggan Malone Dentist 2808 Us-90 W, Gautier, MS 39553 2020-04-03
1770979775 Catherine Durham Counselor 3407 Shamrock Dr., Gautier, MS 39553 2015-04-07
1851648836 Pharmatex, LLC Pharmacy 4551-d Gautier Vancleave Road, Gautier, MS 39553 2012-08-09
1891957544 David W Bonderer Dds Pllc Dentist 2808 Hwy 90, Suite 1, Gautier, MS 39553 2008-06-25
1790830313 William D Parrish Dentist 713 Us Hwy 90, Gautier, MS 39553 2007-01-24
1073685830 Jeffrey Lamone Knight Dentist 3105 Shaw Dr., Gautier, MS 39553 2006-11-15
1720178437 Erica B Wilson Counselor 3704 Shamrock Court, Gautier, MS 39553 2006-10-13
1881781631 James D Victory Chiropractor 315 Highway 90, Gautier, MS 39553 2006-10-05
1508959180 Robert Douglas Holbert Internal Medicine 2105 Old Spanish Trail, Gautier, MS 39553 2006-10-02
1962508119 Sentry-gautier, Inc. Nursing Facility/Intermediate Care Facility 5090 Gautier Vancleave Road, Gautier, MS 39553 2006-09-15
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Taxonomy Information

Taxonomy Code 385H00000X
Grouping Respite Care Facility
Classification Respite Care

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467050237 Unified Home & Respite Care, LLC Respite Care 317 Highland Blvd Ste G, Natchez, MS 39120-4634 2020-10-14
1124636659 Graceful Serenity LLC Respite Care 1440 Dunn Pease Rd, Raymond, MS 39154-8252 2020-07-21
1194342592 Tashanda Chamberlin Respite Care 100 Hopper Ave, Dekalb, MS 39328 2020-07-01
1801412838 Ycsc Gulf Coast Ms, LLC Respite Care 770 Water St Ste 428, Biloxi, MS 39530-4220 2020-06-25
1215552005 Demetress Brent Respite Care 2941 Sheila Dr, Jackson, MS 39209-6125 2020-06-08
1912531427 Magnolia Personal Care LLC Respite Care 69 Bo Stampley Rd, Fayette, MS 39069-4879 2020-02-24
1750935714 La Respite, LLC Respite Care 701 Bowie Ln, Greenwood, MS 38930-5935 2019-07-29
1851944524 Tracey Bernard Scurlock Jr. Respite Care 3747 Eureka Rd, Batesville, MS 38606-8064 2019-07-22
1295394377 Divinity Community Living, Inc. Respite Care 405 Briarwood Dr Ste 108q, Jackson, MS 39206-3032 2019-06-11
1871062521 Live, Laugh and Love Homecare Services Respite Care 604 Highway 80 W Ste Roffice1, Clinton, MS 39056-4108 2018-11-23
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Competitor

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City GAUTIER
Zip Code 39553

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Dataset Information

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.

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