Healthcare Provider Details

I. General information

NPI: 1639088016
Provider Name (Legal Business Name): COMPANION GUARDIAN HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 ORANGEWOOD CT
O FALLON MO
63368-6601
US

IV. Provider business mailing address

8 ORANGEWOOD CT
O FALLON MO
63368-6601
US

V. Phone/Fax

Practice location:
  • Phone: 636-293-5561
  • Fax:
Mailing address:
  • Phone: 636-293-5561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: ANNAH EMUGE
Title or Position: OWNER
Credential:
Phone: 636-293-5561