Provider Demographics
NPI:1063302867
Name:GUARDIAN MOBILITY LLC
Entity type:Organization
Organization Name:GUARDIAN MOBILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-214-3000
Mailing Address - Street 1:301 S MAPLEWOOD ST STE 2
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48838-1586
Mailing Address - Country:US
Mailing Address - Phone:616-214-3000
Mailing Address - Fax:
Practice Address - Street 1:301 S MAPLEWOOD ST STE 2
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MI
Practice Address - Zip Code:48838-1586
Practice Address - Country:US
Practice Address - Phone:616-214-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-04
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)