NPI 1093165375 · live from the CMS NPI Registry
Guardian Halo Health Care LLC
Respite Care in Gautier, MS. National Provider Identifier 1093165375, active.
NPI record
| NPI | 1093165375 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Respite Care 385H00000X |
| Practice location | 4341 Gautier Vancleave Road, Suite 4, Gautier, MS 39553 |
| Practice phone | 228-471-5249 |
| Enumerated | June 16, 2016 |
| Last updated | August 8, 2018 |
| Authorized official | John Madojemiu, President/Ceo |
| Other names | Guardian Halo Home Health Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management | 251B00000X | — |
| Home Health | 251E00000X | — |
| Hospice Care, Community Based | 251G00000X | — |
| Nursing Care | 251J00000X | — |
| Non-Pharmacy Dispensing Site | 332900000X | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Medical Foods Supplier | 335G00000X | — |
| Respite Care, Respite Care Camp | 385HR2050X | — |
| Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | 385HR2060X | — |
| Respite Care primary | 385H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.