Healthcare Provider Details

I. General information

NPI: 1841559853
Provider Name (Legal Business Name): GUARDIAN CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2012
Last Update Date: 08/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 W JUDGE PEREZ DR
CHALMETTE LA
70043-1668
US

IV. Provider business mailing address

PO BOX 6022
METAIRIE LA
70009-6022
US

V. Phone/Fax

Practice location:
  • Phone: 504-201-2400
  • Fax:
Mailing address:
  • Phone: 504-201-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN P HAMIDE
Title or Position: MEMBER
Credential: M.D.
Phone: 504-201-2400