Provider Demographics
NPI:1104900893
Name:GUARDIAN HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:GUARDIAN HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCHEIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-885-0100
Mailing Address - Street 1:5579 PEARL RD STE 200
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-2555
Mailing Address - Country:US
Mailing Address - Phone:440-885-0100
Mailing Address - Fax:440-885-0221
Practice Address - Street 1:3105 FRANKLIN BLVD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-2946
Practice Address - Country:US
Practice Address - Phone:440-885-0100
Practice Address - Fax:440-885-0221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2428484Medicaid
OH368028Medicare ID - Type UnspecifiedMEDICARE