Healthcare Provider Details

I. General information

NPI: 1639450737
Provider Name (Legal Business Name): GUARDIANCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2011
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

665 E DUBLIN GRANVILLE RD STE 330
COLUMBUS OH
43229-3334
US

IV. Provider business mailing address

665 E DUBLIN GRANVILLE RD STE 330
COLUMBUS OH
43229-3334
US

V. Phone/Fax

Practice location:
  • Phone: 614-436-8500
  • Fax: 614-569-0250
Mailing address:
  • Phone: 614-436-8500
  • Fax: 614-569-0250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. SHAUN T SMART
Title or Position: CEO
Credential:
Phone: 614-436-8500