Provider Demographics
NPI:1427874528
Name:TOP CARE GUARDIANS LLC
Entity type:Organization
Organization Name:TOP CARE GUARDIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISOSTOME
Authorized Official - Middle Name:
Authorized Official - Last Name:NSHIMIYIMANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-766-6374
Mailing Address - Street 1:130 DEVEREAUX CIR
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-1813
Mailing Address - Country:US
Mailing Address - Phone:207-766-6374
Mailing Address - Fax:
Practice Address - Street 1:130 DEVEREAUX CIR
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-1813
Practice Address - Country:US
Practice Address - Phone:207-766-6374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-23
Last Update Date:2024-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376G00000XNursing Service Related ProvidersNursing Home AdministratorGroup - Single Specialty