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

Active since May 23, 2005CLIA 45D0885031 · Waiver
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: September 20, 2026.

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

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 holds a CLIA Waiver certificate valid through April 13, 2028 and 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
Open in Google Maps ↗

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0885031

S Fisher And S Thomas Inc Dba Guardian Healthcare · Paris, TX
Active · expires Apr 13, 2028
CLIA Number45D0885031
Laboratory TypeHome Health Agency
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorJanet Squires
Laboratory Phone(903) 737-9865
Laboratory LocationS Fisher And S Thomas Inc Dba Guardian Healthcare117 SE 1st Street, Paris, TX 75460
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.
0%
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.

Does S Fisher & S Thomas, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0885031) is associated with this NPI, valid through April 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 6 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.