Provider Demographics
NPI:1447874649
Name:MEDICAL GUARDIAN, LLC
Entity type:Organization
Organization Name:MEDICAL GUARDIAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ELIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALERNO
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:800-872-4209
Mailing Address - Street 1:1818 MARKET ST STE 1200
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-3627
Mailing Address - Country:US
Mailing Address - Phone:800-872-4209
Mailing Address - Fax:215-914-9079
Practice Address - Street 1:1818 MARKET ST STE 1200
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-3627
Practice Address - Country:US
Practice Address - Phone:800-872-4209
Practice Address - Fax:215-914-9079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-03
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes333300000XSuppliersEmergency Response System Companies
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0407937Medicaid
PA31016954Medicaid