Guardian Medical Transit, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

GUARDIAN MEDICAL TRANSIT, LLC

Practice address

10838 Kings Rd Ste 25
Myrtle Beach, SC 29572-6070

Phone

(843) 457-0725

NPI assigned

May 2, 2019

Organization subpart

No

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

Authorized official

Name

Kenneth M. Thomas, DIRECTOR

Title

Ceo

Phone

(843) 457-0725

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Guardian Medical Transit, LLC Doing business as

Locations

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1962067173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10838 KINGS RD STE 25",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295726070",
            "telephone_number": "843-457-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10838 KINGS RD STE 25",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295726070",
            "telephone_number": "843-457-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN MEDICAL TRANSIT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-457-0725",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICIAD",
            "identifier": "17347",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Medical Transit, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guardian Medical Transit, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Ann Grove
• Randall Paul Grove, PA
• Growth in Waves Therapy LLC
• Susan Grubbs, LPN
• Ryan Grzeschik
• Emily Guarnotta, PSYD
• Alexander Guidry, MD
• Kathy M Guilhas
• Mina Guirguis, MD
• Janel Guiry, RBT

• Land Ambulance in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Land Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.