Active NPI
Guardian Living Services Inc
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Houston, TX
National Provider Identifier
1003010166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 001007700
- Legal business name
- GUARDIAN LIVING SERVICES INC
- Practice address
- 11970 Wilcrest Dr.
Suite 102
Houston, TX 77031 - Phone
- (281) 530-6780
- Fax
- (281) 530-8188
- NPI assigned
- Jun 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Christina Etuk Kizzee
- Title
- President
- Phone
- (281) 530-6780
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 001007885 | TX | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 001007886 | TX | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 001007887 | TX | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 001010519 | TX | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 001007700 | TX | Primary |
Addresses
Primary practice location
11970 Wilcrest Dr.
Suite 102
Houston, TX 77031
Mailing address
PO Box 769
Fresno, TX 77545-0769
Phone (281) 530-6780
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448236800000",
"number": "1003010166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 769",
"city": "FRESNO",
"state": "TX",
"postal_code": "775450769",
"telephone_number": "281-530-6780",
"fax_number": "281-530-8188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11970 WILCREST DR.",
"address_2": "SUITE 102",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77031",
"telephone_number": "281-530-6780",
"fax_number": "281-530-8188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN LIVING SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-13",
"last_updated": "2015-11-23",
"status": "A",
"authorized_official_last_name": "KIZZEE",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "ETUK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-530-6780",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "TX",
"license": "001007885",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "TX",
"license": "001007886",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "TX",
"license": "001007887",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "TX",
"license": "001010519",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "TX",
"license": "001007700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.