GUARDIAN ANGELS ADULT LIVING LLC (NPI# 1841565348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841565348 |
| Entity Type | Organization |
| Organization Name | GUARDIAN ANGELS ADULT LIVING LLC |
| Other Organization Name | GUARDIAN ANGELS ADULT LIVING LLC |
| Practice Address |
7828 Westwood St Detroit MI 48228-3342 |
| Practice Telephone | 3137535562 |
| Practice Fax Number | 3135633537 |
| Mailing Telephone | 3137535562 |
| Mailing Fax Number | 3135633537 |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |
| Authorized Official Name | MS. JASUNDAR D. BOYD (ADMINISTRATOR) |
| Authorized Official Telephone | 3137535562 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Guardian Angels Adult Living LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538444666 | Guardian Angels Adult Living LLC | Assisted Living Facility | 207 Kite Lake Rd, Fayetteville, GA 30214-9608 | 2011-10-20 |
| Street Address |
7828 WESTWOOD ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48228-3342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737210 | West Park Pharmacy LLC | Pharmacy | 16240 W Warren Ave, Detroit, MI 48228 | 2020-03-31 |
| 1316433329 | 4 Ur Recovery Therapy, LLC | Clinic/Center | 19201 Warren St, Detroit, MI 48228 | 2018-07-03 |
| 1003309063 | Marquita Outlaw | Registered Nurse | 8290 Coyle St, Detroit, MI 48228 | 2018-06-13 |
| 1043746548 | Am-pm Transportation Services LLC | Private Vehicle | 18640 Joy Road, Detroit, MI 48228 | 2017-05-04 |
| 1770023491 | Goodcompany Aop Inc | In Home Supportive Care | 8946 Prest St, Detroit, MI 48228 | 2017-02-28 |
| 1881049260 | Christine Jackson | Social Worker | 9115 Warwick, Detroit, MI 48228 | 2016-05-04 |
| 1790157774 | Shakail Bronta Hill | Adult Companion | 7729 Clayburn, Detroit, MI 48228 | 2015-10-29 |
| 1275904583 | Denarol Cunningham | Contractor | 7248 Vaughan, Detroit, MI 48228 | 2015-10-13 |
| 1023493210 | Larry Foster | Technician, Other | 9334 Memorial, Detroit, MI 48228 | 2015-07-29 |
| 1093126872 | Reza Hafezi | Chiropractor | 17600 W. Warren Ave., Detroit, MI 48228 | 2014-05-14 |
| Find all providers in zip 48228 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028694 | Zcare | Custodial Care Facility | 8676 Auburn St, Detroit, MI 48228-2919 | 2020-09-18 |
| 1790397594 | St. Ruth's House of Hope LLC | Custodial Care Facility | 3100 S Electric St, Detroit, MI 48217-1133 | 2020-08-21 |
| 1558837229 | New Center Inn Company | Custodial Care Facility | 158 Pingree St, Detroit, MI 48202-2022 | 2018-10-19 |
| 1477029700 | Acon Services, Inc. | Custodial Care Facility | 17126 Prevost St, Detroit, MI 48235-3551 | 2018-10-14 |
| 1619452588 | Hudson Home 1 Inc | Custodial Care Facility | 750 Virginia Park St, Detroit, MI 48202-2033 | 2018-09-26 |
| 1578083077 | New Advantage Inc. | Custodial Care Facility | 15375 Ardmore St, Detroit, MI 48227-3222 | 2017-06-26 |
| 1003348145 | Reality Response LLC | Custodial Care Facility | 2455 W Grand St, Detroit, MI 48238-3445 | 2017-03-29 |
| 1376080614 | Crystal Serenity House | Custodial Care Facility | 14241 Faust Ave Ste 200-b, Detroit, MI 48223-3574 | 2017-01-25 |
| 1225585250 | Maan Down LLC | Custodial Care Facility | 16885 Ilene St, Detroit, MI 48221 | 2016-09-07 |
| 1881051712 | Tasha Harris | Custodial Care Facility | 6402 Penrod St, Detroit, MI 48228-4748 | 2016-01-22 |
| Find all providers in DETROIT | ||||
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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.