Guardian Angels Care LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

GUARDIAN ANGELS CARE LLC

Doing business as

Guardian Angels Care LLC

Practice address

11350 66TH St # 120-121
Largo, FL 33773-5530

Phone

(727) 656-0849

NPI assigned

Feb 20, 2023

Organization subpart

No

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

Authorized official

Name

Tiara Salter Chhetri

Title

Buisness Manager

Phone

(727) 656-0849

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Guardian Angels Care LLC Doing business as

Locations

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1922706910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 TAYLOR BAY LN",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102436",
            "telephone_number": "727-656-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 66TH ST # 120-121",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337735530",
            "telephone_number": "727-656-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGELS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-19",
        "status": "A",
        "authorized_official_last_name": "SALTER CHHETRI",
        "authorized_official_first_name": "TIARA",
        "authorized_official_title_or_position": "BUISNESS MANAGER",
        "authorized_official_telephone_number": "727-656-0849"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115869700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Angels Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Scott Grove, D.O.
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• Monica Gruber, APRN
• Melinda L Gruszka, O.D.
• Samuel Adam Gruszka
• Guardian Recovery - Tampa Addiction Center, LLC
• Benjamin Jared Gubernick, D.D.S
• David Gubernick, MD
• Samuel Gubernick, D.O.
• Luca Guerriero, LMHC

• Developmental Disabilities Clinic/Center in Largo, FL
• Providers in Largo, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.