Organization
FAMILY CAREGIVERS
Active
Organization
FAMILY CAREGIVERS
Active
Parent organization
GUARDIAN HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUARDIAN HEALTHCARE
Authorized official
JOSE A DE LA ROSA (CEO)
(617) 477-8290
Entity
Organization
Contact information
Practice address
891 CENTRE ST, JAMAICA PLAIN, MA 02130-2776
(617) 477-8290
(617) 477-8292
Mailing address
891 CENTRE ST, JAMAICA PLAIN, MA 02130-2776
(617) 522-0630
(617) 477-8292
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110085134A
—
MA
05
—
110085134B
—
MA
Enumeration date
01/28/2013
Last updated
11/08/2024
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