Guardian Angel Homes LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

GUARDIAN ANGEL HOMES LLC

Practice address

1815 Lasalle St Uppr
Racine, WI 53402-4629

Phone

(262) 260-8565

Fax

(262) 290-4882

NPI assigned

Sep 5, 2026

Last updated

Sep 5, 2026By 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

Mrs. Natasha L Evans

Title

Owner

Phone

(262) 883-7817

Specialties & licenses 1

Addresses

Tax ID family

Guardian Angel Homes LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Guardian Angel Homes LLC

  • Adult Care Home Facility
  • Racine, WI
  • NPI 1376452136
  NPD tax ID

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

{
    "created_epoch": "1788566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788566400000",
    "number": "1679482442",
    "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 UPPR",
            "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": "2026-09-05",
        "last_updated": "2026-09-05",
        "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",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana M Griffin, MD
• Jane Marie Gross, RN
• Lesley Groth
• Jean A Grueter, M.D.
• Guardian Angel Homes LLC
• Guardian Angel Homes LLC
• Maria E Guardiola, LPC
• Aaron Gubi, M.S.
• Desiree Guinn, RN
• Jill Gulan

• Adult Care Home Facility in Racine, WI
• Providers in Racine, WI by specialty
• Adult Care Home Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; 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.