Provider Demographics
NPI:1639051865
Name:TRUE GUARDIAN CARE LLC
Entity type:Organization
Organization Name:TRUE GUARDIAN CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MYESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLUEFORD
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:262-217-0701
Mailing Address - Street 1:4724 N 80TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-4618
Mailing Address - Country:US
Mailing Address - Phone:262-217-0701
Mailing Address - Fax:
Practice Address - Street 1:5215 N IRONWOOD RD STE 202
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53217-4908
Practice Address - Country:US
Practice Address - Phone:262-217-0701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care