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General NPI Number Information
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NPI Number | 1225911910
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Entity Type | Organization
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Legal Business Name | GUARDIAN RIDE SERVICES GRS LLC
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone | 917-741-9452
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Fax |
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Provider Business Mailing Address
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Address Line | 1408 FORT CROOK RD S STE 101
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City | BELLEVUE
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State | NE
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Zip | 68005-2988
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Country | US
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Telephone | 402-315-7780
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | KAMAL ADOW
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Credential |
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Telephone | 917-741-9452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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