Guardian Home Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5629 Issued in FL

Legal business name

GUARDIAN HOME ALF LLC

Practice address

431 E Airport Blvd
Sanford, FL 32773-5494

Phone

(407) 323-2545

Fax

(407) 323-2545

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Luisa V Gatus

Title

Administrator

Phone

(407) 323-2545

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1992988547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 E AIRPORT BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735494",
            "telephone_number": "407-323-2545",
            "fax_number": "407-323-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E AIRPORT BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735494",
            "telephone_number": "407-323-2545",
            "fax_number": "407-323-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HOME ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "GATUS",
        "authorized_official_first_name": "LUISA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-323-2545",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142664800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688996400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara A Gregory, BSW
• Tejinder Grewal, MD
• Kristen Marie Grider, PA-C
• Clarence Anthony Gross Jr., OPTICIAN
• Teresa Grzeszykowska
• Christina Guerra-Greenberg
• Roselina Guerra
• Maria Eugenia Gutierrez, RCSWI
• Gy Med Transport LLC
• Kara Hackett

• Assisted Living Facility in Sanford, FL
• Providers in Sanford, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.