Guardian Residential Services, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

1523-01-001 Issued in VA

Legal business name

GUARDIAN RESIDENTIAL SERVICES, INC.

Practice address

1510 Willow Lawn Dr
Suite 10
Richmond, VA 23230-3429

Phone

(804) 359-0613

Fax

(804) 359-0614

NPI assigned

Sep 28, 2009

Organization subpart

No

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

Authorized official

Name

Mr. John Thomas Redd III

Title

Ceo

Phone

(804) 359-0613

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1649504333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 WILLOW LAWN DR",
            "address_2": "SUITE 10",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303429",
            "telephone_number": "804-359-0613",
            "fax_number": "804-359-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 WILLOW LAWN DR",
            "address_2": "SUITE 10",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303429",
            "telephone_number": "804-359-0613",
            "fax_number": "804-359-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "REDD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-359-0613",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "1523-01-001",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "1523-01-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES",
            "identifier": "1523-01-001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yaoming Gu, M.D.
• Antonia Marie Guardarrama, AGACNP-BC
• Guardian Healthcare, Inc.
• Guardian Homecare LLC
• Guardian Medical Transit LLC
• Susan Lee Guckenberg, LCSW
• Magda Gucwa, BCBA
• Pratyusha Reddy Gudipally, MD
• Margaret Guenther, LPC
• Molly Guerrant, LPC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Richmond, VA
• Providers in Richmond, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.