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).
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 |
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 Name | Type Code |
---|---|
Guardian Halo Home Health Care | Doing Business As Name - Organization |
Street Address |
4341 GAUTIER VANCLEAVE ROAD SUITE 4 |
City | GAUTIER |
State | MS |
Zip Code | 39553-5824 |
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 |
Find all providers in zip 39553 |
Taxonomy Code | 385H00000X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Definition to come. |
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 |
Find all providers with the same taxonomy |
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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.