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General NPI Number Information
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NPI Number | 1801838511
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Entity Type | Organization
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Legal Business Name | GUARDIAN HOMECARE LLC
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 05/02/2017
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Provider Practice Location Address
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Address Line | 1700 WILLOW LAWN DR SUITE #210
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City | RICHMOND
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State | VA
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Zip | 23230-3003
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Country | US
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Telephone | 804-282-9999
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Fax | 804-282-5555
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Provider Business Mailing Address
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Address Line | 1700 WILLOW LAWN DR. SUITE #210
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City | RICHMOND
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State | VA
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Zip | 23230-3409
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Country | US
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Telephone | 804-282-9999
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Fax | 804-282-5555
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JONI MARIE HEMMIS
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Credential |
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Telephone | 804-282-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HCO-07344
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License Number State | VA
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