Provider Demographics
NPI:1407364623
Name:GUARDIANVEST
Entity type:Organization
Organization Name:GUARDIANVEST
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:FRYE
Authorized Official - Last Name:SINGLETERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-297-0785
Mailing Address - Street 1:128 KASEBERG DR
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-1104
Mailing Address - Country:US
Mailing Address - Phone:916-297-0785
Mailing Address - Fax:
Practice Address - Street 1:128 KASEBERG DR
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-1104
Practice Address - Country:US
Practice Address - Phone:916-297-0785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-22
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health