Organization
GUARDIAN CONSORTIUM GROUP, LLC
Active
Parent organization
GUARDIAN CONSORTIUM GROUP, LLC
Other names
Nurse Next Door
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUARDIAN CONSORTIUM GROUP, LLC
Authorized official
SHAUNNA F MINNICK RN (OWNER/OPERATOR)
(317) 650-9031
Entity
Organization
Contact information
Practice address
5907 COVINGTON RD, FORT WAYNE, IN 46804-5857
(260) 766-6274
Mailing address
4611 N 615 W, HUNTINGTON, IN 46750-8921
(317) 650-9031
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/10/2023
Last updated
08/08/2023
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