Organization
GUARDIAN HOME CARE SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA ALICIA CHAPMAN LPN (CEO)
(904) 572-2162
Entity
Organization
Contact information
Practice address
6159 WHITE TIP RD, JACKSONVILLE, FL 32258-3115
(904) 572-2162
Mailing address
6159 WHITE TIP RD, JACKSONVILLE, FL 32258-3115
(904) 572-2162
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
Primary
—
—
251J00000X
Nursing Care Agency
L16000018306
FL
253Z00000X
In Home Supportive Care Agency
L16000018306
FL
372600000X
Adult Companion
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
03/22/2016
Last updated
01/09/2020
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