Active NPI
Guardian Center Opco LLC
- Skilled Nursing Facility
- Brockton, MA
National Provider Identifier
1093658403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GUARDIAN CENTER OPCO LLC
- Practice address
- 888 N Main St
Brockton, MA 02301-1668 - Phone
- (508) 587-6556
- NPI assigned
- Apr 10, 2026
- 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
- Nicholas Destefane
- Title
- President
- Phone
- (314) 543-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
888 N Main St
Brockton, MA 02301-1668
Mailing address
1869 Craig Park CT
Saint Louis, MO 63146-4122
Other names 1
- The Guardian Health Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786579200000",
"number": "1093658403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1869 CRAIG PARK CT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631464122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 N MAIN ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011668",
"telephone_number": "508-587-6556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN CENTER OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-10",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A",
"authorized_official_last_name": "DESTEFANE",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-543-3800"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Guardian Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.