GUARDIAN HAVEN ACADEMY NPI 1871087080

NPI Information

NPI: 1871087080
Provider Name: GUARDIAN HAVEN ACADEMY
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
:
Address: 5806 BRECKENRIDGE PKWY STE B
TAMPA, FL
ZIP 33610
Phone: (813) 400-2117

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NPI Details

GUARDIAN HAVEN ACADEMY is a day training developmentally disabled services in Tampa, FL. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. GUARDIAN HAVEN ACADEMY NPI is 1871087080. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

5806 BRECKENRIDGE PKWY STE B
TAMPA, FL
ZIP 33610-211
Phone: (813) 400-2117

The provider's authorized official is Nakisha Lavell Varlack .
The authorized official title is Owner and has the following contact phone number (813) 400-2117.

The enumeration date for this NPI number is 6/20/2018 and was last updated on 3/5/2025.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251C00000X	Day Training, Developmentally Disabled Services		Yes
2	251S00000X	Community/Behavioral Health		No
3	261QD1600X	Clinic/Center	Developmental Disabilities	No
4	261QH0700X	Clinic/Center	Hearing and Speech	No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
6	261QP2000X	Clinic/Center	Physical Therapy	No
7	261QX0100X	Clinic/Center	Occupational Medicine	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100069300	MEDICAID	FLORIDA

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: 11/21/2025

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