1. Home
  2. Directory
  3. Michigan
  4. Jackson
  5. Community Based Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

GUARDIAN ANGEL HOMES LLC
NPI 1285134965
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jackson, MI

Active since February 19, 2018
1038 WOODBRIDGE ST, JACKSON, MI 49203(517) 914-1039 Get Directions Write a Review

NPPES record last updated: February 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Guardian Angel Homes Llc NPPES

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

GUARDIAN ANGEL HOMES LLC (NPI 1285134965) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Jackson, Michigan and active in the NPI registry since February 2018. The organization lists Reynaldo S Patino, Administrative Manager, as its authorized official.

NPPES Registry Identity

NPI1285134965
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameGUARDIAN ANGEL HOMES LLC
Location Address1038 WOODBRIDGE STJackson, MI 49203-3112
Mailing Address725 N Dettman RdJackson, MI 49202-2605 · (517) 914-1039
Phone(517) 914-1039
Organization SubpartNo
Authorized OfficialReynaldo S PatinoAdministrative Manager · (517) 914-1039
Enumeration DateFebruary 19, 2018
✔ NPI 1285134965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in MI · AS380389381
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X · License AS380389381 (MI)
1038 WOODBRIDGE ST, Jackson, MI 49203
Open in Google Maps ↗

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 Angel Homes LLC's NPI number?

The NPI number for Guardian Angel Homes LLC is 1285134965. It was assigned to this organization in the NPPES registry on February 19, 2018.

Where is Guardian Angel Homes LLC located?

Guardian Angel Homes LLC is located at 1038 Woodbridge St, Jackson, MI 49203. The listed phone number is (517) 914-1039.

What is Guardian Angel Homes LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Guardian Angel Homes LLC was last updated on February 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.