Organization Active NPI

Its My Guardian Angel LLC

  • Physical Disabilities Residential Treatment Facility
  • Coppell, TX
National Provider Identifier
1831583152
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
35233953 Issued in TX
Legal business name
ITS MY GUARDIAN ANGEL LLC
Practice address
1721 E Belt Line Rd
Unit 221
Coppell, TX 75019-9611
Phone
(682) 334-2567
NPI assigned
Mar 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Kristi Taylor
Title
Ceo
Phone
(682) 334-2567

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 35233953 TX Primary
Private Vehicle 347C00000X 35233953 TX

Addresses

Primary practice location

1721 E Belt Line Rd
Unit 221
Coppell, TX 75019-9611

Mailing address

1721 E Belt Line Rd
Unit 221
Coppell, TX 75019-9611

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1831583152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 E BELT LINE RD",
            "address_2": "UNIT 221",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750199611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 E BELT LINE RD",
            "address_2": "UNIT 221",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750199611",
            "telephone_number": "682-334-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITS MY GUARDIAN ANGEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "682-334-2567"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "TX",
            "license": "35233953",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "TX",
            "license": "35233953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.