S FISHER & S THOMAS, INC.
NPI 1457354664
Home Health in Paris, TX

Q: What is S Fisher & S Thomas, Inc.'s NPI number?

The NPI number for S Fisher & S Thomas, Inc. is 1457354664. It was assigned to this organization in the NPPES registry on May 23, 2005. The provider is doing business as Guardian Healthcare.

Q: What is S Fisher & S Thomas, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Q: What quality rating does S Fisher & S Thomas, Inc. have?

CMS rates Guardian Healthcare 4.5 out of 5 stars for quality of patient care on Care Compare. The full measure detail is in the Home Health Quality Ratings section above.

Active since May 23, 2005

4/5

Patient Care Rating

117 1ST ST SE, PARIS, TX 75460(903) 737-9865(903) 737-9954 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2026, Oct 30, 2020, Dec 13, 2016 and 2 more (5 updates tracked since 2015).

On this page

About S Fisher & S Thomas, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

S FISHER & S THOMAS, INC. (NPI 1457354664), doing business as Guardian Healthcare, is a healthcare organization registered as a home health in Paris, Texas and active in the NPI registry since May 2005. The organization lists Joshua L. Proffitt, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1457354664

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameS FISHER & S THOMAS, INC.

Location Address117 1ST ST SEParis, TX 75460-5803

Mailing Address3854 American Way Ste ABaton Rouge, LA 70816-4897 · (225) 299-3990

Phone(903) 737-9865

Fax(903) 737-9954

Organization SubpartYesParent: Guardian Healthcare Holdings, Inc

Authorized OfficialJoshua L. ProffittPresident And Ceo · (617) 639-4092

Enumeration DateMay 23, 2005

Last NPPES UpdateMarch 17, 20265 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1457354664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in TX · 012399

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

117 1ST ST SE, Paris, TX 75460

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Other Names 1

Doing Business AsGuardian Healthcare

Other Identifiers 1

Medicaid023823001TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, UnitedHealthcare.Insurance ›

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Guardian Healthcare (CMS certification number 458041), from CMS Care Compare.

Guardian Healthcare

Home health agency · Paris, TX

4.5/5 Quality of Patient Care

OwnershipProprietary

CMS Certification Number458041

Medicare-Certified SinceApril 18, 1994

Phone(903) 737-9865

Services Offered

Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services Home health aide services

Patient Care Measures

Patients whose home health care began in a timely manner

99.8%

Patients who got better at walking or moving around

95.2%

Patients who got better at getting in and out of bed

95.9%

Patients who got better at bathing

96.8%

Patients whose breathing improved

94.2%

Patients who got better at taking their drugs correctly by mouth

92.1%

Patients checked for a flu shot for the current season

77.9%

Physician-recommended actions on medication issues completed on time

96%

Patients with a functional assessment and care plan at admission and discharge

99.8%

Patients experiencing one or more falls with major injury

Lower rates are better for this measure.

1.2%

New or worsened pressure ulcers or injuries (skin integrity)

Lower rates are better for this measure.

Measure rates are from the CMS Care Compare home health data. Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care

436 of 574 patient episodes · observed rate 75.96%

79.91% Better Than National Rate

Potentially preventable hospital readmissions after discharge

340 patient stays · observed rate 1.76%

Lower rates are better for this measure.

3.31% Same As National Rate

Medicare spending per episode of care, relative to the national average

1.00 = national average per episode of care

1.01

Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LANCASTER COUNSELING SERVICES

Counselor (Professional)

117 1ST ST SE
PARIS, TX 75460

Lamar County (903) 783-1431

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is S Fisher & S Thomas, Inc.'s NPI number?

The NPI number for S Fisher & S Thomas, Inc. is 1457354664. It was assigned to this organization in the NPPES registry on May 23, 2005. The provider is doing business as Guardian Healthcare.

Where is S Fisher & S Thomas, Inc. located?

S Fisher & S Thomas, Inc. is located at 117 1st St SE, Paris, TX 75460. The listed phone number is (903) 737-9865.

What is S Fisher & S Thomas, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Is S Fisher & S Thomas, Inc. a Medicare-certified home health agency?

Yes. Guardian Healthcare is a Medicare-certified home health agency, certified since April 18, 1994.

What quality rating does S Fisher & S Thomas, Inc. have?

CMS rates Guardian Healthcare 4.5 out of 5 stars for quality of patient care on Care Compare. The full measure detail is in the Home Health Quality Ratings section above.

What insurance does S Fisher & S Thomas, Inc. accept?

Health plans from Baylor Scott and White Health Plan and UnitedHealthcare list S Fisher & S Thomas, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for S Fisher & S Thomas, Inc. was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.