Provider Demographics
NPI:1225344716
Name:GUARDIAN IN HOME SERVICES, INC.
Entity Type:Organization
Organization Name:GUARDIAN IN HOME SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:HOPE
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-446-0971
Mailing Address - Street 1:999 LINCOLN WAY E
Mailing Address - Street 2:SUITE A
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-2817
Mailing Address - Country:US
Mailing Address - Phone:717-446-0971
Mailing Address - Fax:717-446-0478
Practice Address - Street 1:999 LINCOLN WAY E
Practice Address - Street 2:SUITE A
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-2817
Practice Address - Country:US
Practice Address - Phone:717-446-0971
Practice Address - Fax:717-446-0478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-23
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA11483601251E00000X
MDR2871251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health