GUARDIAN ANGEL HEALTH SERVICES INC
NPI 1619022100
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Tampa, FL

NPI Status: Active since January 24, 2007

Contact Information

1931 W DR MARTIN LUTHER KING JR BLVD STE A2
TAMPA, FL
ZIP 33607
Phone: (813) 877-5320
Fax: (813) 304-0763

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  • Organization
  • Clinic/Center
  • Rehabilitation, Comprehensive Outpatient...
  • Accepts Insurance
  • CLIA Number: 10D2091689
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-17-2027

About GUARDIAN ANGEL HEALTH SERVICES INC

This page provides the complete NPI Profile along with additional information for Guardian Angel Health Services Inc, a provider established in Tampa, Florida operating as a Clinic/center, focusing in rehabilitation, comprehensive outpatient rehabilitation facility (corf) . The healthcare provider is registered in the NPI registry with number 1619022100 assigned on January 2007. The practitioner's primary taxonomy code is 261QR0401X with license number 26QR0401X (FL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Alexeis Macuya (Owner.)

NPI
1619022100
Provider Name
GUARDIAN ANGEL HEALTH SERVICES INC
Entity Type
Organization
Location Address
1931 W DR MARTIN LUTHER KING JR BLVD STE A2 TAMPA, FL 33607
Location Phone
(813) 877-5320
Location Fax
(813) 304-0763
Mailing Address
3550 W WATERS AVE STE 101 TAMPA, FL 33614
Mailing Phone
(813) 877-5320
Mailing Fax
(813) 304-0763
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-24-2007
Last Update Date
09-24-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Code
261QR0401X
Type
Ambulatory Health Care Facilities
License No.
26QR0401X
License State
FL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Molina Bronze Enhanced 3500 - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
  • Molina Bronze Premier with $0 Medical Deductible - HMO
  • Molina Bronze Premier with $0 Medical Deductible Plus with Adult Dental and Vision - HMO
  • Molina Bronze Premier with $0 Medical Deductible Plus with Adult Vision - HMO
  • Molina Bronze Standard - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Enhanced 895 - HMO
  • Molina Gold Enhanced 895 Plus with Adult Dental and Vision - HMO
  • Molina Gold Enhanced 895 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Access - HMO
  • Molina Silver Access Plus with Adult Dental and Vision - HMO
  • Molina Silver Access Plus with Adult Vision - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALEXEIS MACUYA

Authorized Official Title
OWNER.
Authorized Official Phone
(813) 877-5320

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2091689
Facility Type
Physician Office
Certificate Effective Date
February 18, 2025
Certificate Expiration Date
February 17, 2027
Laboratory Director
ALEXEIS MACUYA HORTA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Guardian Angel Health Services Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619022100, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 0 + 2 + 4 + 1 + 0 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1619022100.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619022100, enumerated as an "organization" on January 24, 2007.

The provider is located at 1931 W DR MARTIN LUTHER KING JR BLVD STE A2 TAMPA, FL 33607 and the phone number is (813) 877-5320.

Clinic/Center with taxonomy code 261QR0401X and a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.