GUARDIAN ANGELS SUPPORTED LIVING LLC
NPI 1518457209
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Sikeston, MO

Q: What is Guardian Angels Supported Living LLC's NPI number?

The NPI number for Guardian Angels Supported Living LLC is 1518457209. It was assigned to this organization in the NPPES registry on May 17, 2018.

Q: What is Guardian Angels Supported Living 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.

Active since May 17, 2018

1006 LINN ST, SIKESTON, MO 63801(573) 471-1412(573) 481-4432 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 1, 2019, May 17, 2018 (2 updates tracked since 2018).

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About Guardian Angels Supported Living Llc NPPES

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

GUARDIAN ANGELS SUPPORTED LIVING LLC (NPI 1518457209) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Sikeston, Missouri and active in the NPI registry since May 2018. The organization lists Carrie Hardaway, Ceo, as its authorized official.

NPPES Registry Identity

NPI1518457209

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameGUARDIAN ANGELS SUPPORTED LIVING LLC

Location Address1006 LINN STSikeston, MO 63801-2223

Mailing Address1006 Linn StSikeston, MO 63801-2223 · (573) 471-1412 · Fax (573) 481-4432

Phone(573) 471-1412

Fax(573) 481-4432

Organization SubpartNo

Authorized OfficialCarrie HardawayCeo · (573) 575-1015

Enumeration DateMay 17, 2018

Last NPPES UpdateMay 1, 20192 updates tracked since enumeration

✔ NPI 1518457209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

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

1006 LINN ST, Sikeston, MO 63801

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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 Angels Supported Living LLC's NPI number?

The NPI number for Guardian Angels Supported Living LLC is 1518457209. It was assigned to this organization in the NPPES registry on May 17, 2018.

Where is Guardian Angels Supported Living LLC located?

Guardian Angels Supported Living LLC is located at 1006 Linn St, Sikeston, MO 63801. The listed phone number is (573) 471-1412.

What is Guardian Angels Supported Living 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 Angels Supported Living LLC was last updated on May 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.