GUARDIAN HAVEN ACADEMY (NPI# 1871087080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871087080 |
| Entity Type | Organization |
| Organization Name | GUARDIAN HAVEN ACADEMY |
| Other Organization Name | GUARDIAN HAVEN |
| Practice Address |
3801 Corporex Park Dr Ste 200 Tampa FL 33619-1136 |
| Mailing Address |
7853 Gunn Hwy # 364 Tampa FL 33626-1611 |
| Practice Telephone | 8134002117 |
| Mailing Telephone | 8134002117 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-09-27 |
| Authorized Official Name | NAKISHA LAVELL VARLACK (OWNER) |
| Authorized Official Telephone | 8134002117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 100069300 | 05 |
| Other Name | Type Code |
|---|---|
| Guardian Haven | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15512 Carrillon Estates Blvd, Tampa, FL 336253302 | 8432630404 |
| Street Address |
3801 CORPOREX PARK DR STE 200 |
| City | TAMPA |
| State | FL |
| Zip Code | 33619-1136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740706787 | Nuevo Amanecer Tampa, LLC | Assisted Living Facility | 7405 Aripeka Dr, Tampa, FL 33619 | 2017-08-22 |
| 1144742396 | Florida Family Primary Care Centers of Tampa, LLC | Pediatrics | 7444 Palm River Dr, Tampa, FL 33619 | 2017-07-10 |
| 1750817110 | Ajaa Love Care Services | Home Health | 8905 Tidewater Trail, Tampa, FL 33619 | 2017-05-04 |
| 1073064127 | Tampa General Medical Group Inc | Internal Medicine | 10740 Palm River Road, Ste 360, Tampa, FL 33619 | 2016-10-24 |
| 1598116741 | Austin Chase | Chiropractor | 10081 E Adamo Dr, Tampa, FL 33619 | 2016-06-29 |
| 1841667003 | Healthworks Med Group of Florida Pa | General Practice | 9527 Delaney Creek Blvd, Tampa, FL 33619 | 2015-08-24 |
| 1962883371 | A Plus Alliance Home Care Agency, LLC | Home Health | 1503 South Hwy 301 Suite 13, Tampa, FL 33619 | 2015-06-11 |
| 1285026377 | Fatty Ademola Aderoju | Pharmacist | 5701 Hillsborough Ave, Tampa, FL 33619 | 2015-02-26 |
| 1942692504 | Henry Fate Corporation | Home Health | 9325 Bay Plaza Blvd, Suite 205, Tampa, FL 33619 | 2015-02-19 |
| 1598189938 | Willie Ruth Miller | Custodial Care Facility | 4812 S. 86th St, Tampa, FL 33619 | 2014-02-05 |
| Find all providers in zip 33619 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528361 | Where The Heart Is Home Care Services LLC | Day Training, Developmentally Disabled Services | 110 E Broad St Apt 204, Tampa, FL 33604-4132 | 2020-11-04 |
| 1417562257 | Peace of Mind Home Care Services | Day Training, Developmentally Disabled Services | 1102 Ray Charles Blvd Unit 314, Tampa, FL 33602-3050 | 2020-09-09 |
| 1902314214 | Ruthell Jenkins | Day Training, Developmentally Disabled Services | 3720 Williams Landing Cir Unit 208, Tampa, FL 33610-9130 | 2018-01-21 |
| 1396198917 | Shana Taylor Taylor | Day Training, Developmentally Disabled Services | 8005 Downpatrick Ct, Tampa, FL 33610-8074 | 2016-07-19 |
| 1386093144 | Merced Care Home LLC | Day Training, Developmentally Disabled Services | 4616 N Lincoln Ave, Tampa, FL 33614-6634 | 2016-06-11 |
| 1700231198 | Davides Care At Home, Inc. | Day Training, Developmentally Disabled Services | 20013 Satin Leaf Ave, Tampa, FL 33647-3714 | 2016-05-04 |
| 1548614597 | Agena Health LLC | Day Training, Developmentally Disabled Services | 8712 High St, Tampa, FL 33614-1619 | 2016-04-15 |
| 1629475496 | Hugo Vazquez | Day Training, Developmentally Disabled Services | 13927 Briardale Ln, Tampa, FL 33618-2115 | 2014-11-21 |
| 1881933570 | Eden Home Health | Day Training, Developmentally Disabled Services | 10018 N 23rd St, Tampa, FL 33612-7126 | 2013-01-31 |
| 1821386434 | Envisage Abundance, Inc. | Day Training, Developmentally Disabled Services | 1417 Tampa Park Plaza St, Tampa, FL 33605-4821 | 2011-07-17 |
| Find all providers in TAMPA | ||||
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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.