MEDICARE: GUARDIAN HOSPICE, 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
1	251G00000X	Community Based Hospice Care Agency	126	LA
2	251G00000X	Community Based Hospice Care Agency	289	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982694295
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUARDIAN HOSPICE, INC

Provider Business Mailing Address
First Line	:	825 LITTLE FARMS AVE
Second Line	:	SUITE D
City	:	METAIRIE
State	:	LA
Zip	:	70003-5913
Country	:	US
Telephone Number	:	504-737-2244
Fax Number	:	504-737-2245

Provider Business Practice Location Address
First Line	:	825 LITTLE FARMS AVE
Second Line	:	SUITE D
City	:	METAIRIE
State	:	LA
Zip	:	70003-5913
Country	:	US
Telephone Number	:	504-737-2244
Fax Number	:	504-737-2245

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	TRACEY MCCANN
Credential	:	LCSW
Telephone Number	:	504-737-2244

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	03/30/2011

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Directions to “GUARDIAN HOSPICE, INC ” Practice Location

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