Provider Demographics
NPI:1386498384
Name:GUARDIAN HOME CARE OF MI LLC
Entity type:Organization
Organization Name:GUARDIAN HOME CARE OF MI LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:DESIREE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAIGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-203-8500
Mailing Address - Street 1:675 E BIG BEAVER RD STE 207
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1428
Mailing Address - Country:US
Mailing Address - Phone:313-203-8500
Mailing Address - Fax:313-203-8501
Practice Address - Street 1:675 E BIG BEAVER RD STE 207
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-1428
Practice Address - Country:US
Practice Address - Phone:313-203-8500
Practice Address - Fax:313-203-8501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care