Healthcare Provider Details

I. General information

NPI: 1265727341
Provider Name (Legal Business Name): GUARDIAN HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2011
Last Update Date: 06/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12452 BARROW ST
SPRING HILL FL
34609-4904
US

IV. Provider business mailing address

12452 BARROW ST
SPRING HILL FL
34609-4904
US

V. Phone/Fax

Practice location:
  • Phone: 352-688-8832
  • Fax:
Mailing address:
  • Phone: 352-688-8832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberAL11282
License Number StateFL

VIII. Authorized Official

Name: MRS. PAULAMARIE AURIGEMMA
Title or Position: ASSISTANT ADMINISTRATOR
Credential:
Phone: 352-688-8832