Guardian Angel Homes LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

GUARDIAN ANGEL HOMES LLC

Practice address

815 8TH St Apt M08
Racine, WI 53403-1491

Phone

(262) 883-7817

NPI assigned

Jan 7, 2022

Last updated

Jan 7, 2022By 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

Tasha Willis

Title

Owner

Phone

(262) 883-7817

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Natasha Evans

  • Adult Companion
  • Racine, WI
  • NPI 1376485441
  NPD

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1710648100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 8TH ST APT M08",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031491",
            "telephone_number": "262-883-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 8TH ST APT M08",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031491",
            "telephone_number": "262-883-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-883-7817"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Robert M Gullberg, MD

• 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 Jan 7, 2022; 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.