Healthcare Provider Details

I. General information

NPI: 1285556993
Provider Name (Legal Business Name): GUARDIAN HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 12TH ST W UNIT 43
BRADENTON FL
34205-7819
US

IV. Provider business mailing address

8965 ROYAL RIVER CIR
PARRISH FL
34219-3219
US

V. Phone/Fax

Practice location:
  • Phone: 770-882-9631
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIE EUGENE
Title or Position: MANAGER
Credential:
Phone: 678-927-0628