Provider Demographics
NPI:1457079246
Name:GUARDIAN HOME CARES
Entity type:Organization
Organization Name:GUARDIAN HOME CARES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:NAWROCKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-449-1771
Mailing Address - Street 1:3204 RIVER DRIVE RD
Mailing Address - Street 2:
Mailing Address - City:EDGEMERE
Mailing Address - State:MD
Mailing Address - Zip Code:21219
Mailing Address - Country:US
Mailing Address - Phone:443-449-1771
Mailing Address - Fax:866-500-3990
Practice Address - Street 1:3204 RIVER DRIVE RD
Practice Address - Street 2:
Practice Address - City:EDGEMERE
Practice Address - State:MD
Practice Address - Zip Code:21219
Practice Address - Country:US
Practice Address - Phone:443-449-1771
Practice Address - Fax:866-500-3990
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GUARDIAN HOME CARES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health