Provider Demographics
NPI:1639450737
Name:GUARDIAN CARE SERVICES LLC
Entity Type:Organization
Organization Name:GUARDIAN CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAUN
Authorized Official - Middle Name:T
Authorized Official - Last Name:SMART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-580-0673
Mailing Address - Street 1:665 E DUBLIN GRANVILLE RD STE 330
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3334
Mailing Address - Country:US
Mailing Address - Phone:614-436-8500
Mailing Address - Fax:614-569-0250
Practice Address - Street 1:8273 PARORI LN
Practice Address - Street 2:
Practice Address - City:BLACKLICK
Practice Address - State:OH
Practice Address - Zip Code:43004-8423
Practice Address - Country:US
Practice Address - Phone:614-580-0673
Practice Address - Fax:614-569-0250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-01
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health