Guardian Manor L.L.C.

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

GUARDIAN MANOR L.L.C.

Doing business as

Guardian Manor

Practice address

6709 W Chambers St
Milwaukee, WI 53210-1332

Phone

(414) 469-0100

Fax

(866) 480-8397

NPI assigned

Sep 28, 2023

Organization subpart

No

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

Authorized official

Name

Erica Le May, RN

Title

Clinical Coordinator

Phone

(414) 469-0100

Specialties & licenses 1

Addresses

Other names 1

• Guardian Manor Doing business as

Locations

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1922887876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 181",
            "address_2": "3900 W. BROWN DEER RD",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "53209",
            "telephone_number": "414-469-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 W CHAMBERS ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101332",
            "telephone_number": "414-469-0100",
            "fax_number": "866-480-8397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9035 W Greenfield Ave",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "532142808",
            "country_code": "US",
            "telephone_number": "414-469-0100",
            "fax_number": "866-480-8397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GUARDIAN MANOR L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "LE MAY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "414-469-0100",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nalini M Guda, MD
• Todd M Gudausky, M.D.
• Linda Guddie
• Tara Guden, LCSW

• Assisted Living Facility (Behavioral Disturbances) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Assisted Living Facility (Behavioral Disturbances) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.