Guardian Community Living-Kentucky, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

GUARDIAN COMMUNITY LIVING-KENTUCKY, LLC

Practice address

10503 Timberwood Cir
116
Louisville, KY 40223-5318

Phone

(502) 429-8003

Fax

(502) 429-8043

NPI assigned

May 10, 2012

Organization subpart

Yes

Parent organization

GUARDIAN GROUPAs reported in NPPES

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

Authorized official

Name

Mr. Donald Ireland

Title

Cfo

Phone

(615) 377-9140

Specialties & licenses 1

Addresses

Tax ID family

Guardian Community Living - Kentucky2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Guardian Community Living - Kentucky

  • Developmentally Disabled Services Day Training Agency
  • Louisville, KY
  • NPI 1588962328
  NPD tax ID

Locations

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1992064075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 TIMBERWOOD CIR",
            "address_2": "116",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235318",
            "telephone_number": "502-429-8003",
            "fax_number": "502-429-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10503 TIMBERWOOD CIR",
            "address_2": "116",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235318",
            "telephone_number": "502-429-8003",
            "fax_number": "502-429-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN COMMUNITY LIVING-KENTUCKY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUARDIAN GROUP",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "IRELAND",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-377-9140",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Leonard Grzeda, MD
• Alyssa Michelle Guajardo, DO
• Guardiacare
• Guardian Community Living - Kentucky
• Guardian Community Living Louisville, LLC
• Juan Guardiola, MD
• Gina Guarino, PHARM.D, RPH
• John Joseph Guarnaschelli, MD
• Natalie Guarnaschelli, MS, RD
• Laura Gubo

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Louisville, KY
• Providers in Louisville, KY by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.