Guardiancare Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2547579 Issued in OH

Legal business name

GUARDIANCARE SERVICES LLC

Practice address

8273 Parori LN
Blacklick, OH 43004-8423

Phone

(614) 436-8500

Fax

(614) 569-0250

NPI assigned

Jun 23, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Shaun Tierre Smart

Title

Owner/Ceo

Phone

(614) 436-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Guardiancare Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Guardiancare Services LLC

  • In Home Supportive Care Agency
  • Columbus, OH
  • NPI 1639450737
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1700268026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8273 PARORI LANE",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "43004",
            "telephone_number": "614-436-8500",
            "fax_number": "614-569-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8273 PARORI LN",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430048423",
            "telephone_number": "614-436-8500",
            "fax_number": "614-569-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIANCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "TIERRE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "614-436-8500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "2547579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2920129",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Graham, LSW
• Steven Michael Graves
• Carneka Green
• Olivia Green
• Romero Green
• Monish Gurung
• Sakarri Hackworth
• Kasey Michele Hafer, PHARMD
• John J Haidet, DDS,MS
• Marqwon Hale I

• Community/Behavioral Health Agency in Blacklick, OH
• Providers in Blacklick, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.