Active NPI
Guardian Angel Homes LLC
- Adult Care Home Facility
- Racine, WI
National Provider Identifier
1376452136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- GUARDIAN ANGEL HOMES LLC
- Practice address
- 1815 Lasalle St Lowr
Racine, WI 53402-4629 - Phone
- (262) 260-8565
- Fax
- (262) 290-4882
- NPI assigned
- Sep 4, 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
- Natasha L Evans
- Title
- Owner
- Phone
- (262) 883-7817
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
1815 Lasalle St Lowr
Racine, WI 53402-4629
Mailing address
2312 16TH PL
Kenosha, WI 53140-1812
Phone (262) 883-7817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788480000000",
"number": "1376452136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2312 16TH PL",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531401812",
"telephone_number": "262-883-7817",
"fax_number": "262-290-4882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 LASALLE ST LOWR",
"city": "RACINE",
"state": "WI",
"postal_code": "534024629",
"telephone_number": "262-260-8565",
"fax_number": "262-290-4882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN ANGEL HOMES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-04",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "NATASHA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "262-883-7817"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.