Active NPI
Guardian Angel Health Services Inc
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Tampa, FL
National Provider Identifier
1619022100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- License
- 26QR0401X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.