Provider Demographics
NPI:1417725599
Name:GUARDIAN CARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:GUARDIAN CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KUMBA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAITEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-332-8740
Mailing Address - Street 1:4801 HARGROVE RD STE 10C
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-1949
Mailing Address - Country:US
Mailing Address - Phone:919-900-7209
Mailing Address - Fax:919-822-9370
Practice Address - Street 1:4801 HARGROVE RD STE 10C
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-1949
Practice Address - Country:US
Practice Address - Phone:919-900-7209
Practice Address - Fax:919-822-9370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health