# GUARDIAN HOMECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053353623
- **Authorized official:** MRS. JONI MARIE HEMMIS (ADMINISTRATOR)
- **Authorized official phone:** (757) 624-9999

## Contact information

- **Practice address:** 248 W BUTE ST, SUITE \#202, NORFOLK, VA 23510-1440
- **Practice address phone:** (757) 624-9999
- **Practice address fax:** (757) 624-1111
- **Mailing address:** 248 W BUTE ST, SUITE \#202, NORFOLK, VA 23510-1440
- **Mailing address phone:** (757) 624-9999
- **Mailing address fax:** (757) 624-1111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | VA | Yes |
| 3747P1801X | Personal Care Attendant | — | VA | — |
| 385H00000X | Respite Care | — | VA | — |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 05/02/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010196574 | — | VA |
| 05 | — | 010199000 | — | VA |