GUARDIAN LIVING SERVICES INC (NPI# 1003010166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003010166 |
| Entity Type | Organization |
| Organization Name | GUARDIAN LIVING SERVICES INC |
| Practice Address |
11970 Wilcrest Dr. Suite 102 Houston TX 77031 |
| Mailing Address |
Po Box 769 Fresno TX 77545-0769 |
| Practice Telephone | 2815306780 |
| Practice Fax Number | 2815308188 |
| Mailing Telephone | 2815306780 |
| Mailing Fax Number | 2815308188 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2015-11-23 |
| Authorized Official Name | MS. CHRISTINA ETUK KIZZEE (PRESIDENT) |
| Authorized Official Telephone | 2815306780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 001007885 | TX | Residential Treatment Facilities |
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 001007886 | TX | Residential Treatment Facilities |
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 001007887 | TX | Residential Treatment Facilities |
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 001010519 | TX | Residential Treatment Facilities |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 001007700 | TX | Residential Treatment Facilities |
| Street Address |
11970 WILCREST DR. SUITE 102 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982185807 | Mosunmola Feyisetan Pikuda | Registered Nurse | 9200 West Bellfort Street, Apt 48, Houston, TX 77031 | 2018-08-28 |
| 1215413109 | Zleep Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 10511 Windsor Ln, Suite B111, Houston, TX 77031 | 2018-07-14 |
| 1821443367 | Westside Surgical Hospital, LLC | General Acute Care Hospital | 11375 W Sam Houston Pkwy, Suite 150, Houston, TX 77031 | 2016-05-03 |
| 1982028023 | Icon Health Services LLC | Home Health | 9102 Travistock Drive, Houston, TX 77031 | 2014-02-10 |
| 1033450739 | Healthchoice Pharmacy LLC | Pharmacy | 10001 West Bellfort, Houston, TX 77031 | 2013-03-06 |
| 1578873204 | Frances Uchenna Anyigbo | Intermediate Care Facility, Mentally Retarded | 11014 Ranier Dr, Houston, TX 77031 | 2010-10-15 |
| 1992014013 | Healthchoice Dme | Durable Medical Equipment & Medical Supplies | 10001 W. Bellfort Ste., K, Houston, TX 77031 | 2010-10-07 |
| 1811203375 | Tiffany Landry | Pharmacy Technician | 9222 Petersham Dr, Houston, TX 77031 | 2010-08-23 |
| 1356673990 | Latranda W Thurmond | Counselor | 10714 Silkwood Dr, Housotn, TX 77031 | 2010-02-08 |
| 1659563062 | Newlife Dme Supplies Inc. | Durable Medical Equipment & Medical Supplies | 10710 S Sam Houston Pkwy S., # 250, Houston, TX 77031 | 2007-08-10 |
| Find all providers in zip 77031 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980686 | Mimshack Care Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12330 Springcrest Dr, Houston, TX 77072-3219 | 2020-10-21 |
| 1265047534 | Compassion Structured Living Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13578 San Martin Ln, Houston, TX 77083-5135 | 2020-09-13 |
| 1871104299 | Shamira Ferguson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10901 Mist Ln Apt 5104, Houston, TX 77070-4488 | 2020-08-10 |
| 1205444015 | Homestays By Brown Little & Gurl LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2017 Gillette St, Houston, TX 77006-1531 | 2020-07-17 |
| 1184258923 | Bamal Solutions LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13939 Westheimer Rd, Houston, TX 77077-5358 | 2020-03-02 |
| 1063046712 | Oasis Hcs and Txhml Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7930 Corporate Dr Apt 14, Houston, TX 77036-6533 | 2020-03-02 |
| 1942833850 | Big Trinity Cargo LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7015 Pouter Dr, Houston, TX 77083-3530 | 2020-02-19 |
| 1285264721 | A1 Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10039 Bissonnet St Ste 219, Houston, TX 77036-7852 | 2020-01-23 |
| 1881237550 | Ark Infinitude | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2150 Bentworth Dr Apt 461, Houston, TX 77077-6223 | 2019-10-24 |
| 1821645532 | New Hope Hcs and Txhml Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6260 Westpark Dr Ste 230, Houston, TX 77057-7411 | 2019-08-19 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.