Organization Active NPI

Guardian Angel Health Services Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Tampa, FL
National Provider Identifier
1619022100
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
26QR0401X Issued in FL
Legal business name
GUARDIAN ANGEL HEALTH SERVICES INC
Practice address
1931 W Dr Martin Luther King Jr Blvd Ste A2
Tampa, FL 33607-6529
Phone
(813) 877-5320
Fax
(813) 304-0763
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Alexeis Macuya
Title
Owner.
Phone
(813) 877-5320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 26QR0401X FL Primary

Addresses

Primary practice location

1931 W Dr Martin Luther King Jr Blvd Ste A2
Tampa, FL 33607-6529

Mailing address

3550 W Waters Ave Ste 101
Tampa, FL 33614-2767
Phone (813) 877-5320

National Provider Directory

National Provider Directory

Locations

3272 NW 72nd Ave
Miami, FL 33122
Phone (305) 468-8718

8011 N Himes Ave
Tampa, FL 33614
Phone (813) 514-9999

2309 W Mlk Blvd
Ste 3
Tampa, FL 33607
Phone (813) 570-3609

1931 W Dr Martin Luther King Jr Blvd
Ste A2
Tampa, FL 33607
Phone (813) 877-5320

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1619022100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 W WATERS AVE STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142767",
            "telephone_number": "813-877-5320",
            "fax_number": "813-644-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 W DR MARTIN LUTHER KING JR BLVD STE A2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076529",
            "telephone_number": "813-877-5320",
            "fax_number": "813-304-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "MACUYA",
        "authorized_official_first_name": "ALEXEIS",
        "authorized_official_title_or_position": "OWNER.",
        "authorized_official_telephone_number": "813-877-5320"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": "26QR0401X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.