NPIMap

Organization Active NPI

Guardian Community Living, LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Cordova, TN
National Provider Identifier
1730208513
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
GUARDIAN COMMUNITY LIVING, LLC
Practice address
895 Willow Tree Cir
Cordova, TN 38018-3106
Phone
(901) 682-1940
Fax
(901) 682-1946
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Authorized official

Name
Don Ireland
Title
Cfo
Phone
(615) 377-9140

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Intellectual Disabilities Intermediate Care Facility 315P00000X TN Primary

Addresses

Primary practice location

895 Willow Tree Cir
Cordova, TN 38018-3106

Mailing address

105 Westpark Dr
Suite 100
Brentwood, TN 37027-5319
Phone (615) 377-9140

National Provider Directory

National Provider Directory
Tax ID family
Guardian Community Living LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

105 Westpark Dr
Ste 100
Brentwood, TN 37027
Phone (615) 377-9140

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1730208513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WESTPARK DR",
            "address_2": "SUITE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275319",
            "telephone_number": "615-377-9140",
            "fax_number": "615-661-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 WILLOW TREE CIR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183106",
            "telephone_number": "901-682-1940",
            "fax_number": "901-682-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN COMMUNITY LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "IRELAND",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-377-9140"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.