GUARDIAN LIVING SERVICES INC NPI 1003010166
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Houston, TX
About GUARDIAN LIVING SERVICES INC
Guardian Living Services Inc is a provider established in Houston, Texas specializing in community based residential treatment facility, intellectual and/or developmental disabilities. The NPI number of Guardian Living Services Inc is 1003010166 and was assigned on June 2007. The practitioner's primary taxonomy code is 320900000X with license number 001007700 (TX). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Ms. Christina Etuk Kizzee (President)
| NPI | 1003010166 |
| Provider Name | GUARDIAN LIVING SERVICES INC |
| Provider Location Address | 11970 WILCREST DR. SUITE 102 HOUSTON, TX 77031 |
| Provider Mailing Address | PO BOX 769 FRESNO, TX 77545 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 06-13-2007 |
| Last Update Date | 11-23-2015 |
Primary Taxonomy
| Taxonomy Code | 320900000X |
| Classification | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Type | Residential Treatment Facilities |
| License No. | 001007700 |
| License State | TX |
| Taxonomy Description | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Business Address
GUARDIAN LIVING SERVICES INC
11970 WILCREST DR.
SUITE 102
HOUSTON, TX
ZIP 77031
Phone: (281) 530-6780
Fax: (281) 530-8188
Mailing Address
GUARDIAN LIVING SERVICES INC
PO BOX 769
FRESNO, TX
ZIP 77545
Phone: (281) 530-6780
Fax: (281) 530-8188
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 001007885 | TX | No | |
Taxonomy Description: a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. | |||||||
| 2 | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 001007886 | TX | No | |
Taxonomy Description: a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. | |||||||
| 3 | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 001007887 | TX | No | |
Taxonomy Description: a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. | |||||||
| 4 | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 001010519 | TX | No | |
Taxonomy Description: a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. | |||||||
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.