MEDICARE: GUARDIANCARE SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	385H00000X	Respite Care
2	251E00000X	Home Health Agency	OH
3	253Z00000X	In Home Supportive Care Agency	OH

General Provider Information

NPI Number	:	1639450737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUARDIANCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	665 E DUBLIN GRANVILLE RD STE 330
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-3334
Country	:	US
Telephone Number	:	614-436-8500
Fax Number	:	614-569-0250

Provider Business Practice Location Address
First Line	:	665 E DUBLIN GRANVILLE RD STE 330
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-3334
Country	:	US
Telephone Number	:	614-436-8500
Fax Number	:	614-569-0250

Authorized Official
Title or Position	:	CEO
Name	:	MR. SHAUN T SMART
Credential	:
Telephone Number	:	614-436-8500

Provider Enumeration Date	:	09/01/2011
Last Update Date	:	11/05/2025

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