GUARDIAN LIVING SERVICES INC NPI 1003010166

Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities in Houston, TX

About GUARDIAN LIVING SERVICES INC

Guardian Living Services Inc is a provider in Houston, TX. The NPI number assigned to this provider is 1003010166. The practitioner's primary taxonomy code is Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities (320900000X). The provider is registered as an organization and their NPI record was last updated 2 years ago.

NPI1003010166 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameGUARDIAN LIVING SERVICES INC
Provider Location Address11970 WILCREST DR. SUITE 102 HOUSTON, TX 77031 Additional informationCallout TooltipProvider 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 AddressPO BOX 769 FRESNO, TX 77545 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
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).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. 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.
Enumeration Date06-13-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date11-23-2015 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

GUARDIAN LIVING SERVICES INC
11970 WILCREST DR.
SUITE 102
HOUSTON, TX
ZIP 77031
Phone: (281) 530-6780
Fax: (281) 530-8188
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Mailing Address

GUARDIAN LIVING SERVICES INC
PO BOX 769
FRESNO, TX
ZIP 77545
Phone: (281) 530-6780
Fax: (281) 530-8188

Primary Taxonomy

Taxonomy Code320900000X Additional informationCallout TooltipPrimary 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.
ClassificationCommunity Based Residential Treatment, Mental Retardation and/or Developmental Disabilities
TypeResidential Treatment Facilities
License No.001007700
License StateTX
Taxonomy DescriptionA home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

Authorized Official NameMS. CHRISTINA ETUK KIZZEE Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePRESIDENT
Authorized Official Phone(281) 530-6780

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
1320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment, Mental Retardation and/or Developmental Disabilities001007885TXNo

Taxonomy Description: a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

2320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment, Mental Retardation and/or Developmental Disabilities001007886TXNo

Taxonomy Description: a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

3320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment, Mental Retardation and/or Developmental Disabilities001007887TXNo

Taxonomy Description: a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

4320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment, Mental Retardation and/or Developmental Disabilities001010519TXNo

Taxonomy Description: a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Map Location


GUARDIAN LIVING SERVICES INC address is 11970 WILCREST DR. SUITE 102 HOUSTON, TX 77031