Guardian Angel Personal Care Service LLC
Organization Active NPI Homemaker · Lawtey, FL
NPI 1104791920 · NPPES record last updated Oct 9, 2025
Key facts
- NPI
- 1104791920
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Homemaker 376J00000X
- Legal business name
- GUARDIAN ANGEL PERSONAL CARE SERVICE LLC
- Practice address
- 22748 Linwood Ave
Lawtey, FL 32058-4307 - Phone
- (904) 782-7315
- NPI assigned
- Oct 9, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- GUARDIAN ANGEL PERSONAL CARE SERVICES
Authorized official
- Name
- Nequila L Berry, CEO
- Title
- Manager
- Phone
- (904) 782-7315
National Provider Directory
- Part of
- Guardian Angel Personal Care Service LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Transportation Network Company | 342000000X | |||
| Homemaker |
376J00000X | Yes |
Addresses
Primary practice location
22748 Linwood Ave
Lawtey, FL 32058-4307
Mailing address
22748 Linwood Ave
Lawtey, FL 32058-4307
Phone (904) 782-7315
Other providers in Lawtey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.