Organization
GUARDIAN HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JONI MARIE HEMMIS (ADMINISTRATOR)
(757) 624-9999
Entity
Organization
Contact information
Practice address
248 W BUTE ST, SUITE #202, NORFOLK, VA 23510-1440
(757) 624-9999
(757) 624-1111
Mailing address
248 W BUTE ST, SUITE #202, NORFOLK, VA 23510-1440
(757) 624-9999
(757) 624-1111
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
VA
3747P1801X
Personal Care Attendant
—
VA
385H00000X
Respite Care
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010196574
—
VA
05
—
010199000
—
VA
Enumeration date
06/11/2006
Last updated
05/02/2017
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