Provider Demographics
NPI:1326197666
Name:GUARDIAN HOME CARE, INC.
Entity Type:Organization
Organization Name:GUARDIAN HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-239-6500
Mailing Address - Street 1:5700 E FRANKLIN RD STE 250
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-7902
Mailing Address - Country:US
Mailing Address - Phone:208-461-1600
Mailing Address - Fax:208-461-4251
Practice Address - Street 1:2021 COURT AVE
Practice Address - Street 2:
Practice Address - City:BAKER CITY
Practice Address - State:OR
Practice Address - Zip Code:97814-3417
Practice Address - Country:US
Practice Address - Phone:541-523-3335
Practice Address - Fax:541-523-4025
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GUARDIAN HOME CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-09
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR381549Medicare ID - Type UnspecifiedHOSPICE