MEDICARE: GUARDIAN HOME HEALTH SERVICES

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	251E00000X	Home Health Agency	251E00000X	OH

General Provider Information

NPI Number	:	1962405605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUARDIAN HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	5576 PEARL RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-2542
Country	:	US
Telephone Number	:	216-344-9130
Fax Number	:	216-344-9135

Provider Business Practice Location Address
First Line	:	5576 PEARL RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-2542
Country	:	US
Telephone Number	:	216-344-9130
Fax Number	:	216-344-9135

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. KENNETH D. GOSSETT
Credential	:	PHD
Telephone Number	:	216-344-9130

Provider Enumeration Date	:	05/25/2005
Last Update Date	:	08/22/2020

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