Provider Demographics
NPI:1568068930
Name:GUARDIAN HOME CARE LLC
Entity Type:Organization
Organization Name:GUARDIAN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GUERLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUVELSAINT
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:561-667-9289
Mailing Address - Street 1:610 DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-2464
Mailing Address - Country:US
Mailing Address - Phone:561-667-9289
Mailing Address - Fax:
Practice Address - Street 1:610 DAVIS RD
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-2464
Practice Address - Country:US
Practice Address - Phone:561-667-9289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No347C00000XTransportation ServicesPrivate Vehicle
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty