Provider Demographics
NPI:1437455987
Name:GAURDIAN HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:GAURDIAN HEALTH CARE SERVICES INC
Other - Org Name:REGIONAL HOME HEALTH CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEWSANKAR
Authorized Official - Middle Name:CARPEN
Authorized Official - Last Name:RENGASAWMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-248-2407
Mailing Address - Street 1:3700 N FLAGLER DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-4422
Mailing Address - Country:US
Mailing Address - Phone:561-742-7350
Mailing Address - Fax:
Practice Address - Street 1:1301 W BOYNTON BEACH BLVD STE 9
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-3420
Practice Address - Country:US
Practice Address - Phone:561-742-7350
Practice Address - Fax:561-733-3931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHHA29991563Medicare UPIN