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General NPI Number Information
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NPI Number | 1467339309
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Entity Type | Organization
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Legal Business Name | GUARDIANS OF HOME CARE LLC
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 1300 W LODI AVE
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City | LODI
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State | CA
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Zip | 95242-3000
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Country | US
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Telephone | 209-663-2304
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Fax |
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Provider Business Mailing Address
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Address Line | 2606 CHARDONNAY LN
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City | LODI
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State | CA
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Zip | 95242-8203
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TARIQ HUSSAIN
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Credential |
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Telephone | 209-663-2304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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