Provider Demographics
NPI:1659432284
Name:HEALTH GUARD ADULT DAY HEALTH CARE
Entity type:Organization
Organization Name:HEALTH GUARD ADULT DAY HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ISOUNTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-419-9914
Mailing Address - Street 1:5648-5652 VINELAND AVE.
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601
Mailing Address - Country:US
Mailing Address - Phone:818-760-7727
Mailing Address - Fax:818-760-7747
Practice Address - Street 1:5648-5652 VINELAND AVE.
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601
Practice Address - Country:US
Practice Address - Phone:818-760-7727
Practice Address - Fax:818-760-7747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA060000657261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAADU70191FMedicare ID - Type UnspecifiedADULT DAY HEALTH CARE