Organization
GUARDIAN HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JONI MARIE HEMMIS (ADMINISTRATOR)
(804) 282-9999
Entity
Organization
Contact information
Practice address
1700 WILLOW LAWN DR, SUITE #210, RICHMOND, VA 23230-3003
(804) 282-9999
(804) 282-5555
Mailing address
1700 WILLOW LAWN DR., SUITE #210, RICHMOND, VA 23230-3409
(804) 282-9999
(804) 282-5555
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-07344
VA
3747P1801X
Personal Care Attendant
—
VA
385H00000X
Respite Care
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010169542
—
VA
05
—
010169551
—
VA
05
—
1801838511
—
VA
Enumeration date
06/10/2006
Last updated
05/02/2017
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