Guardian Angel Day Support Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GUARDIAN ANGEL DAY SUPPORT SERVICES LLC

Practice address

10116 Duncan Rd
N Dinwiddie, VA 23803-9028

Phone

(804) 715-7575

NPI assigned

Mar 5, 2024

Last updated

Mar 5, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Isameena Graham, BSN, RN

Title

Ceo

Phone

(804) 715-7575

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1437916541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10116 DUNCAN RD",
            "city": "N DINWIDDIE",
            "state": "VA",
            "postal_code": "238039028",
            "telephone_number": "804-715-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10116 DUNCAN RD",
            "city": "N DINWIDDIE",
            "state": "VA",
            "postal_code": "238039028",
            "telephone_number": "804-715-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL DAY SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ISAMEENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-715-7575",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collective Counseling Centre Inc
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• Community/Behavioral Health Agency in N Dinwiddie, VA
• Providers in N Dinwiddie, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.