Provider Demographics
NPI:1023852456
Name:CARING GUARDIAN HEALTHCARE LLC
Entity type:Organization
Organization Name:CARING GUARDIAN HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:FIKILE
Authorized Official - Middle Name:
Authorized Official - Last Name:MSOMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-494-8109
Mailing Address - Street 1:4622 PADBURY MANOR CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-5208
Mailing Address - Country:US
Mailing Address - Phone:929-494-8109
Mailing Address - Fax:
Practice Address - Street 1:4622 PADBURY MANOR CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-5208
Practice Address - Country:US
Practice Address - Phone:929-494-8109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251E00000XAgenciesHome Health