Healthcare Provider Details

I. General information

NPI: 1598205353
Provider Name (Legal Business Name): GUARDIAN HOME HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2017
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8408 SIX FORKS RD STE 102
RALEIGH NC
27615-3077
US

IV. Provider business mailing address

PO BOX 40367
RALEIGH NC
27629-0367
US

V. Phone/Fax

Practice location:
  • Phone: 919-426-1653
  • Fax: 919-424-7578
Mailing address:
  • Phone: 919-426-1653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberHC4875
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberHC4875
License Number StateNC

VIII. Authorized Official

Name: MR. ONYE PAUL ONUOHA
Title or Position: PRESIDENT
Credential:
Phone: 919-426-1653