Guardian Haven Academy

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GUARDIAN HAVEN ACADEMY

Doing business as

Guardian Haven

Practice address

5806 Breckenridge Pkwy Ste B
Tampa, FL 33610-4211

Phone

(813) 400-2117

NPI assigned

Jun 20, 2018

Last updated

Mar 5, 2025By 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

Nakisha Lavell Varlack

Title

Owner

Phone

(813) 400-2117

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• Guardian Haven Doing business as

Locations

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1871087080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7853 GUNN HWY # 109",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261611",
            "telephone_number": "813-400-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5806 BRECKENRIDGE PKWY STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336104211",
            "telephone_number": "813-400-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HAVEN ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "VARLACK",
        "authorized_official_first_name": "NAKISHA",
        "authorized_official_middle_name": "LAVELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-400-2117"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100069300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Karli Brooke Guarino, APRN

• Developmentally Disabled Services Day Training Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

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