GUARDIAN CENTER OPCO LLC
NPI 1093658403
Skilled Nursing Facility in Brockton, MA

Active since April 10, 2026CLIA 22D0080463 · Waiver
888 N MAIN ST, BROCKTON, MA 02301(508) 587-6556 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Guardian Center Opco Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUARDIAN CENTER OPCO LLC (NPI 1093658403) is a healthcare organization registered as a skilled nursing facility in Brockton, Massachusetts and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Nicholas Destefane, President, as its authorized official.

NPPES Registry Identity

NPI1093658403
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGUARDIAN CENTER OPCO LLC
Location Address888 N MAIN STBrockton, MA 02301-1668
Mailing Address1869 Craig Park CtSaint Louis, MO 63146-4122
Organization SubpartNo
Authorized OfficialNicholas DestefanePresident · (314) 543-3800
Enumeration DateApril 10, 2026
NPPES CertifiedApril 10, 2026
NPI 1093658403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
888 N MAIN ST, Brockton, MA 02301

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D0080463

Guardian Center,the · Brockton, MA
Active · expires Aug 31, 2026
CLIA Number22D0080463
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRenee Delmonico
Laboratory Phone(508) 587-6556
Laboratory LocationGuardian Center,the888 North Main Street, Brockton, MA 02301
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
888 N MAIN ST
BROCKTON, MA 02301
Speech-Language Pathologist
888 N MAIN ST
BROCKTON, MA 02301
Skilled Nursing Facility
888 N MAIN ST
BROCKTON, MA 02301
Occupational Therapist
888 N MAIN ST
BROCKTON, MA 02301
Student in an Organized Health Care Education/Training Program
888 N MAIN ST
BROCKTON, MA 02301
Occupational Therapist
888 N MAIN ST
BROCKTON, MA 02301
Physical Therapist
888 N MAIN ST
BROCKTON, MA 02301
Physical Therapist
888 N MAIN ST
BROCKTON, MA 02301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Guardian Center Opco LLC's NPI number?

The NPI number for Guardian Center Opco LLC is 1093658403. It was assigned to this organization in the NPPES registry on April 10, 2026.

Where is Guardian Center Opco LLC located?

Guardian Center Opco LLC is located at 888 N Main St, Brockton, MA 02301. The listed phone number is (508) 587-6556.

What is Guardian Center Opco LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Guardian Center Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0080463) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Guardian Center Opco LLC was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.