Provider Demographics
NPI:1386496271
Name:GUARDIAN HOME CARE OF NH, LLC
Entity type:Organization
Organization Name:GUARDIAN HOME CARE OF NH, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DESIREE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAIGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-821-0929
Mailing Address - Street 1:136 HARVEY ROAD
Mailing Address - Street 2:A107
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053
Mailing Address - Country:US
Mailing Address - Phone:603-821-0929
Mailing Address - Fax:603-821-0372
Practice Address - Street 1:136 HARVEY ROAD
Practice Address - Street 2:A107
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3161
Practice Address - Country:US
Practice Address - Phone:603-821-0929
Practice Address - Fax:603-821-0372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health