ETERNAL GUARDIAN HOME HEALTH CARE LLC
NPI 1730919192
Home Health in Zionsville, IN

Q: What is Eternal Guardian Home Health Care LLC's specialty?

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

Active since August 01, 2024CLIA 15D2327877 · Waiver

1505 W OAK ST STE 140, ZIONSVILLE, IN 46077(317) 407-3616(877) 804-2638 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2025, Aug 1, 2024 (2 updates tracked since 2024).

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About Eternal Guardian Home Health Care Llc NPPES

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

ETERNAL GUARDIAN HOME HEALTH CARE LLC (NPI 1730919192), doing business as Eternal Guardian Home Health Care, is a healthcare organization registered as a home health in Zionsville, Indiana and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through July 30, 2027 and lists Kafuba Donzon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730919192

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameETERNAL GUARDIAN HOME HEALTH CARE LLC

Location Address1505 W OAK ST STE 140Zionsville, IN 46077-2058

Mailing Address3706 W Ferguson RdFort Wayne, IN 46809-3157 · (317) 407-3616

Phone(317) 407-3616

Fax(877) 804-2638

Organization SubpartNo

Authorized OfficialKafuba DonzonCeo · (678) 860-9669

Enumeration DateAugust 1, 2024

Last NPPES UpdateAugust 27, 20252 updates tracked since enumeration

NPPES CertifiedAugust 27, 2025

✔ NPI 1730919192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

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.

1505 W OAK ST STE 140, Zionsville, IN 46077

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Other Names 1

Doing Business AsEternal Guardian Home Health Care

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 15D2327877

Eternal Guardian Home Health Care · Zionsville, IN

Active · expires Jul 30, 2027

CLIA Number15D2327877

Laboratory TypeHome Health Agency

Certificate Effective DateJuly 31, 2025

Certificate Expiration DateJuly 30, 2027

Laboratory DirectorMinda Kelly

Laboratory Phone(317) 407-3616

Laboratory LocationEternal Guardian Home Health Care1505 W Oak St Unit 140, Zionsville, IN 46077

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Eternal Guardian Home Health Care LLC's NPI number?

The NPI number for Eternal Guardian Home Health Care LLC is 1730919192. It was assigned to this organization in the NPPES registry on August 1, 2024. The provider is doing business as Eternal Guardian Home Health Care.

Where is Eternal Guardian Home Health Care LLC located?

Eternal Guardian Home Health Care LLC is located at 1505 W Oak St Ste 140, Zionsville, IN 46077. The listed phone number is (317) 407-3616.

What is Eternal Guardian Home Health Care LLC's specialty?

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

Does Eternal Guardian Home Health Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2327877) is associated with this NPI, valid through July 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eternal Guardian Home Health Care LLC was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.