# HOME GUARD PRIVATE HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Home Guard Private Home Care LLC, My Home Guard Care LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972312569
- **Authorized official:** CLIFORD MBINCHO (CEO)
- **Authorized official phone:** (404) 330-9890

## Contact information

- **Practice address:** 1775 PARKER RD SE STE 315, CONYERS, GA 30094-6654
- **Practice address phone:** (404) 330-9890
- **Mailing address:** 1775 PARKER RD SE OFC 315, CONYERS, GA 30094-6654
- **Mailing address phone:** (404) 330-9890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 01/07/2025
- **Last updated:** 06/24/2025