Guardiantrac. LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GUARDIANTRAC. LLC

Practice address

215 Broadus St
Sturgis, MI 49091

Phone

(269) 651-4500

NPI assigned

Oct 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Carmichael

Title

Chief Executive Officer

Phone

(877) 659-4500

Specialties & licenses 3

Addresses

Other names 1

• GT Independence Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Michigan Agency With Choice

  • In Home Supportive Care Agency
  • Sturgis, MI
  • NPI 1033411509
  NPPES parent name

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1710176151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BROADUS ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911384",
            "telephone_number": "877-659-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BROADUS ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "49091",
            "telephone_number": "269-651-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Wake Forest Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276096859",
            "country_code": "US",
            "telephone_number": "269-651-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GUARDIANTRAC. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "CARMICHAEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "877-659-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GT Independence",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GT Independence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Gordon
• Juanyae Gordon
• Cassidy Graber
• Great Lakes Anesthesia Indiana and Michigan, PLLC
• Mataya Griffith
• Kelli Jo Gunthorp, RN
• Amy M Hackman, NP
• Dayanna Hall
• Brittany Marie Hamilton, FNP
• James T Harris, DDS

• Community/Behavioral Health Agency in Sturgis, MI
• Providers in Sturgis, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.