# GUARDIAN CONSORTIUM GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GUARDIAN CONSORTIUM GROUP, LLC
- **Other names:** Nurse Next Door
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104511831
- **Legal business name:** GUARDIAN CONSORTIUM GROUP, LLC
- **Authorized official:** SHAUNNA F MINNICK RN (OWNER/OPERATOR)
- **Authorized official phone:** (317) 650-9031

## Contact information

- **Practice address:** 5907 COVINGTON RD, FORT WAYNE, IN 46804-5857
- **Practice address phone:** (260) 766-6274
- **Mailing address:** 4611 N 615 W, HUNTINGTON, IN 46750-8921
- **Mailing address phone:** (317) 650-9031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 04/10/2023
- **Last updated:** 08/08/2023