Guardian Angel Home 4 Loved Ones

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

GUARDIAN ANGEL HOME 4 LOVED ONES

Practice address

12809 Flat Creek Dr
Pearland, TX 77584-3105

Phone

(214) 202-9640

Fax

(713) 340-1252

NPI assigned

Dec 15, 2020

Last updated

Apr 5, 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

Juliet Nwokedi, NP

Title

RN, Nurse Practitioner

Phone

(214) 202-9640

Specialties & licenses 1

Addresses

Other names 1

• Guardian Angel home 4 loved Ones Former legal business name

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1780270777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12809 FLAT CREEK DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843105",
            "telephone_number": "214-202-9640",
            "fax_number": "713-340-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12809 FLAT CREEK DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843105",
            "telephone_number": "214-202-9640",
            "fax_number": "713-340-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HOME 4 LOVED ONES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "NWOKEDI",
        "authorized_official_first_name": "JULIET",
        "authorized_official_title_or_position": "RN, NURSE PRACTITIONER",
        "authorized_official_telephone_number": "214-202-9640",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Angel home 4 loved Ones",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Latierja Griffin, MS
• Mikela Dionquenette Griffin
• Dejah Grigsby
• Alex Grooms
• Kayla Grupe
• Shaily Gudiel
• Jme Guehring, M.D.
• Anamile Idalia Guerra, LPC-ASSOCIATE
• Francisco Guerra Jr., MD
• Jessica Guerra

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pearland, TX
• Providers in Pearland, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

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