MEDICARE: GUARDIAN HANDS HOME HEALTHCARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1841846094
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUARDIAN HANDS HOME HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	6241 DUNHAM RD
Second Line	:
City	:	MAPLE HEIGHTS
State	:	OH
Zip	:	44137-4766
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5311 NORTHFIELD RD STE 324
Second Line	:
City	:	BEDFORD HEIGHTS
State	:	OH
Zip	:	44146-1189
Country	:	US
Telephone Number	:	216-681-9842
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMANDA LOVE
Credential	:
Telephone Number	:	216-681-9842

Provider Enumeration Date	:	08/14/2019
Last Update Date	:	08/14/2019

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