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NPI Code Detail

MEDICARE: GUARDIANS HOME HEALTHCARE LLC

MEDICARE: GUARDIANS HOME HEALTHCARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1043939127
Entity Type Code : Organization
Provider Name (Legal Business Name) : GUARDIANS HOME HEALTHCARE LLC
Provider Business Mailing Address
First Line : 1515 PINE ST STE 209
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-4993
Country : US
Telephone Number : 732-209-0901
Fax Number :
Provider Business Practice Location Address
First Line : 1468 W 9TH ST STE 100
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-1252
Country : US
Telephone Number : 732-209-0901
Fax Number :
Authorized Official
Title or Position : OWNER/TREASURER
Name : MICHAEL STERN
Credential :
Telephone Number : 732-209-0901
Provider Enumeration Date : 08/23/2022
Last Update Date : 03/04/2024

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Directions to “GUARDIANS HOME HEALTHCARE LLC ” Practice Location

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