Organization · Type 2 NPI

Guardian Halo Health Care LLC

Respite Care · Gautier, MS

NPI number 1093165375 Active

Practice location

4341 Gautier Vancleave Road, Suite 4
Gautier, MS 39553-5824

Fax (228) 471-5249

Specialties and licenses

Taxonomy	Code	License
Case Management Agency	251B00000X	None listed
Home Health Agency	251E00000X	None listed
Community Based Hospice Care Agency	251G00000X	None listed
Nursing Care Agency	251J00000X	None listed
Non-Pharmacy Dispensing Site	332900000X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Medical Foods Supplier	335G00000X	None listed
Respite Care Primary	385H00000X	None listed
Respite Care Camp	385HR2050X	None listed
Child Intellectual and/or Developmental Disabilities Respite Care	385HR2060X	None listed

Respite Care: Definition to come.

NPI record

NPI: 1093165375
Entity type: Organization (Type 2)
Issued: Jun 16, 2016
Last updated: Aug 8, 2018
Status: Active

Other names

<unavail>
Guardian Halo Home Health Care · doing business as
Guardian Halo Home Health Care · doing business as

Authorized official

Mr. John Omonkhuale Madojemiu, B.S, M.SC., MSM, CTM
President/ceo
(228) 471-5249

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093165375

Guardian Halo Health Care LLC's National Provider Identifier is 1093165375, issued on Jun 16, 2016. The primary taxonomy on file is Respite Care (385H00000X), and the practice location is in Gautier, MS. The record was last updated on Aug 8, 2018.