Healthcare Provider Details

I. General information

NPI: 1235686593
Provider Name (Legal Business Name): GUARDIAN ELITE MEDICAL SERVICES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2016
Last Update Date: 02/24/2022
Certification Date: 02/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3570 E FLAMINGO RD
LAS VEGAS NV
89121-5000
US

IV. Provider business mailing address

2830 FERNE DR BUILDING E
LAS VEGAS NV
89104-4551
US

V. Phone/Fax

Practice location:
  • Phone: 702-262-2262
  • Fax: 702-207-0599
Mailing address:
  • Phone: 702-262-2262
  • Fax: 702-207-0599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberA13467
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberA13467
License Number StateNV

VIII. Authorized Official

Name: MR. SAMUEL SCHELLER
Title or Position: CEO
Credential: MBA, NRP
Phone: 702-262-2262