Provider Demographics
NPI:1629252648
Name:GUARDIAN HOME HEALTH CARE
Entity Type:Organization
Organization Name:GUARDIAN HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AMARE
Authorized Official - Middle Name:
Authorized Official - Last Name:GEREMEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-886-8894
Mailing Address - Street 1:2520 S. BAHAMA WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013
Mailing Address - Country:US
Mailing Address - Phone:303-886-8894
Mailing Address - Fax:303-306-1126
Practice Address - Street 1:2520 S. BAHAMA WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013
Practice Address - Country:US
Practice Address - Phone:303-886-8894
Practice Address - Fax:303-306-1126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health