Watts Guardian Care, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL10622 Issued in FL

Legal business name

WATTS GUARDIAN CARE, INC.

Practice address

7217 Eudine Dr N
Jacksonville, FL 32210-2628

Phone

(904) 693-2276

NPI assigned

Feb 10, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Mildred Walker Watts

Title

President

Phone

(904) 693-2276

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1679997704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 EUDINE DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102628",
            "telephone_number": "904-693-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 EUDINE DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102628",
            "telephone_number": "904-693-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATTS GUARDIAN CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-693-2276",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL10622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142374600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Shantrice Watson
• Whitney Watson
• William Watson, PH.D.
• Lee Watters, MS
• Julia Wattier
• James W Watts, OD
• Julie Foley Watts, MS CCC-SLP
• Katelyn Watts, APRN
• Natacha Samuella Watts, LCSW
• Tonia Lyn Watts, MSW

• Assisted Living Facility (Mental Illness) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.