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GUARDIAN RESIDENTIAL SERVICES INC. NPI 1649504333


NPI Information

NPI: 1649504333
Provider Name: GUARDIAN RESIDENTIAL SERVICES, INC.
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1510 WILLOW LAWN DR
SUITE 10
RICHMOND, VA
ZIP 23230
Phone: (804) 359-0613
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GUARDIAN RESIDENTIAL SERVICES, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Richmond, VA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. GUARDIAN RESIDENTIAL SERVICES, INC. NPI is 1649504333. The provider is registered as an organization entity type.

The provider's business location address is:

1510 WILLOW LAWN DR
SUITE 10
RICHMOND, VA
ZIP 23230-429
Phone: (804) 359-0613
Fax: (804) 359-0614

The provider's authorized official is John Thomas Redd .
The authorized official title is Ceo and has the following contact phone number (804) 359-0613.

The enumeration date for this NPI number is 9/28/2009 and was last updated on 9/28/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled Services1523-01-001VIRGINIANo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities1523-01-001VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11523-01-001OTHERVIRGINIADEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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