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NPI Code Detail

MEDICARE: GUARDIAN HOME HEALTH AGENCY INC

MEDICARE: GUARDIAN HOME HEALTH AGENCY INC
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 : 1891358974
Entity Type Code : Organization
Provider Name (Legal Business Name) : GUARDIAN HOME HEALTH AGENCY INC
Provider Business Mailing Address
First Line : 4605 LANKERSHIM BLVD STE 716
Second Line :
City : TOLUCA LAKE
State : CA
Zip : 91602-1887
Country : US
Telephone Number : 747-202-1502
Fax Number : 800-862-8192
Provider Business Practice Location Address
First Line : 4605 LANKERSHIM BLVD STE 716
Second Line :
City : TOLUCA LAKE
State : CA
Zip : 91602-1887
Country : US
Telephone Number : 747-202-1502
Fax Number : 800-862-8192
Authorized Official
Title or Position : EMPLOYEE
Name : OLEH VAKRUSHEV
Credential :
Telephone Number : 747-202-1502
Provider Enumeration Date : 04/15/2019
Last Update Date : 03/24/2026

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Directions to “GUARDIAN HOME HEALTH AGENCY INC ” Practice Location

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