Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Respite Care |
385H00000X | |||
Case Management |
251B00000X | |||
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice | |
Medical Foods Supplier |
335G00000X | |||
Non-Pharmacy Dispensing Site |
332900000X | 87 | All Other Suppliers | |
Nursing Care |
251J00000X | |||
Respite Care Camp |
385HR2050X | |||
Respite Care, Intellectual and/or Developmental Disabilities |
385HR2060X |
| NPI Number | 1093165375 |
| LBN Legal business name | GUARDIAN HALO HEALTH CARE LLC |
| Authorized official | JOHN MADOJEMIU - (PRESIDENT/CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/16/2016 |
| Last updated | 08/08/2018 - About 8 years ago |
| Identifiers | n/a |
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GUARDIAN HALO HEALTH CARE LLC
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