Healthcare Provider Details

I. General information

NPI: 1124951611
Provider Name (Legal Business Name): GUARDIAN NEST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6115 ALLISONVILLE RD
INDIANAPOLIS IN
46220-4604
US

IV. Provider business mailing address

6115 ALLISONVILLE RD
INDIANAPOLIS IN
46220-4604
US

V. Phone/Fax

Practice location:
  • Phone: 463-222-7178
  • Fax: 317-680-7185
Mailing address:
  • Phone: 463-222-7178
  • Fax: 317-680-7185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: CHIQUITA WATKINS
Title or Position: COO
Credential:
Phone: 463-222-7178