Provider Demographics
NPI:1689685687
Name:GUARDIAN HOME CARE, LTD.
Entity Type:Organization
Organization Name:GUARDIAN HOME CARE, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:J
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-236-1663
Mailing Address - Street 1:1378 STONE QUARRY RD
Mailing Address - Street 2:
Mailing Address - City:FLEMING
Mailing Address - State:OH
Mailing Address - Zip Code:45729-5223
Mailing Address - Country:US
Mailing Address - Phone:740-678-7588
Mailing Address - Fax:
Practice Address - Street 1:536 4TH ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-1901
Practice Address - Country:US
Practice Address - Phone:740-236-1663
Practice Address - Fax:740-236-4869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1452556251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health