Organization Active NPI

Guardian Living Services Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Houston, TX
National Provider Identifier
1003010166
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
001007700 Issued in TX
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

Updated by the provider on Nov 23, 2015

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.