Provider Demographics
NPI:1023598539
Name:SILVER GUARDIAN INC
Entity type:Organization
Organization Name:SILVER GUARDIAN INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTANO
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:203-900-8020
Mailing Address - Street 1:30 OAKWOOD AVE LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-1318
Mailing Address - Country:US
Mailing Address - Phone:203-900-8020
Mailing Address - Fax:203-354-3096
Practice Address - Street 1:30 OAKWOOD AVE LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-1318
Practice Address - Country:US
Practice Address - Phone:203-900-8020
Practice Address - Fax:203-354-3096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA.0000942253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care