Provider Demographics
NPI:1013519495
Name:THE GUARDIANS HOME-CARE AGENCY LLC
Entity Type:Organization
Organization Name:THE GUARDIANS HOME-CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ND
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:602-900-0870
Mailing Address - Street 1:3907 W LANE AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051-5754
Mailing Address - Country:US
Mailing Address - Phone:602-900-0870
Mailing Address - Fax:602-666-6716
Practice Address - Street 1:2550 W UNION HILLS DR STE 350
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-5187
Practice Address - Country:US
Practice Address - Phone:602-900-0870
Practice Address - Fax:602-666-6716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care