NPIMap

Organization Active NPI

Imperial Guardian LLC

  • Adult Companion
  • Tallahassee, FL
National Provider Identifier
1962112060
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Legal business name
IMPERIAL GUARDIAN LLC
Practice address
2423 Talco Hills Dr Apt C
Tallahassee, FL 32303-3474
Phone
(850) 692-4300
Fax
(877) 841-3603
NPI assigned
Nov 29, 2022
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Annie D OdomNPI 1043844202
Title
Owner
Phone
(850) 692-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Adult Companion 372600000X NU Primary
Homemaker 376J00000X NU

Addresses

Primary practice location

2423 Talco Hills Dr Apt C
Tallahassee, FL 32303-3474

Mailing address

2423 Talco Hills Dr Apt C
Tallahassee, FL 32303-3474
Phone (850) 692-4300

Other identifiers 2

IdentifierTypeStateIssuer
241157MedicaidFL
235755MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1962112060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 TALCO HILLS DR APT C",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323033474",
            "telephone_number": "850-692-4300",
            "fax_number": "877-841-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 TALCO HILLS DR APT C",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323033474",
            "telephone_number": "850-692-4300",
            "fax_number": "877-841-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL GUARDIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-692-4300"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241157",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235755",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; 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.