Healthcare Provider Details

I. General information

NPI: 1912848334
Provider Name (Legal Business Name): GUARDIAN HEALTHKEEPERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8809 SUDLEY RD STE 207
MANASSAS VA
20110-4749
US

IV. Provider business mailing address

8133 SINCLAIR MILL RD
MANASSAS VA
20112-3507
US

V. Phone/Fax

Practice location:
  • Phone: 401-595-9989
  • Fax:
Mailing address:
  • Phone: 401-595-9989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ALBERT BAYSAH
Title or Position: CEO
Credential:
Phone: 401-595-9989