- Enrollment id
- O20060315000656
- Enrollment state
- GA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1992736227
- Multiple npi flag
- N
- Ccn
- 117131
- Associate id
- 1850308800
- Organization name
- GUARDIAN HOME CARE, LLC
- Doing business as name
- ACCENTCARE HOME HEALTH OF GEORGIA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 11660 ALPHARETTA HWY
- Address line 2
- STE 440
- City
- ROSWELL
- State
- GA
- Zip code
- 300763880