GUARDIAN ANGELS ADULT LIVING LLC NPI 1538444666

NPI Information

NPI: 1538444666
Provider Name: GUARDIAN ANGELS ADULT LIVING LLC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
207 KITE LAKE RD
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 666-4401
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GUARDIAN ANGELS ADULT LIVING LLC is an adult care home custodial care facility in Fayetteville, GA. The provider is 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. GUARDIAN ANGELS ADULT LIVING LLC NPI is 1538444666. The provider is registered as an organization entity type.

The provider's business location address is:

207 KITE LAKE RD
FAYETTEVILLE, GA
ZIP 30214-608
Phone: (770) 666-4401

The provider's authorized official is Brittaney Shonteria Hester .
The authorized official title is Administrator and has the following contact phone number (770) 666-4401.

The enumeration date for this NPI number is 10/20/2011 and was last updated on 10/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	No
2	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	No
3	311ZA0620X	Custodial Care Facility	Adult Care Home	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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