Healthcare Provider Details

I. General information

NPI: 1447874649
Provider Name (Legal Business Name): MEDICAL GUARDIAN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2020
Last Update Date: 03/20/2024
Certification Date: 11/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 MARKET ST STE 1200
PHILADELPHIA PA
19103-3627
US

IV. Provider business mailing address

1818 MARKET ST STE 1200
PHILADELPHIA PA
19103-3627
US

V. Phone/Fax

Practice location:
  • Phone: 800-872-4209
  • Fax: 215-914-9079
Mailing address:
  • Phone: 800-872-4209
  • Fax: 215-914-9079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: ELIZA SALERNO II
Title or Position: COO
Credential:
Phone: 800-872-4209