MEDICARE: GUARDIAN HOME CARE OF NASHVILLE, 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
1	251E00000X	Home Health Agency	0000000607	TN

General Provider Information

NPI Number	:	1134150337
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUARDIAN HOME CARE OF NASHVILLE, LLC

Provider Business Mailing Address
First Line	:	17855 DALLAS PKWY
Second Line	:	SUITE 200
City	:	DALLAS
State	:	TX
Zip	:	75287-6852
Country	:	US
Telephone Number	:	972-267-1100
Fax Number	:	972-267-1115

Provider Business Practice Location Address
First Line	:	741 COOL SPRINGS BLVD
Second Line	:	SUITE 110
City	:	FRANKLIN
State	:	TN
Zip	:	37067-2697
Country	:	US
Telephone Number	:	615-771-2080
Fax Number	:	615-771-2090

Authorized Official
Title or Position	:	VP LEGAL
Name	:	HEATHER SISCEL
Credential	:
Telephone Number	:	615-771-2080

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	05/02/2024

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