Healthcare Provider Details

I. General information

NPI: 1386496271
Provider Name (Legal Business Name): GUARDIAN HOME CARE OF NH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2024
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 COMMERCE PARK N STE 202
BEDFORD NH
03110-6984
US

IV. Provider business mailing address

5 COMMERCE PARK N STE 202
BEDFORD NH
03110-6984
US

V. Phone/Fax

Practice location:
  • Phone: 603-821-0929
  • Fax: 603-821-0372
Mailing address:
  • Phone: 603-821-0929
  • Fax: 603-821-0372

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: DESIREE YOUNG
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 603-821-0929