Provider Demographics
NPI:1275778078
Name:GUARDIAN HOMES, INC.
Entity Type:Organization
Organization Name:GUARDIAN HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:APPEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-765-1137
Mailing Address - Street 1:PO BOX 327
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54966-0327
Mailing Address - Country:US
Mailing Address - Phone:920-765-1137
Mailing Address - Fax:
Practice Address - Street 1:10231 PENNY LAKE RD
Practice Address - Street 2:
Practice Address - City:ROSHOLT
Practice Address - State:WI
Practice Address - Zip Code:54473-8862
Practice Address - Country:US
Practice Address - Phone:715-677-4625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies