GUARDIAN RESIDENTIAL SERVICES, INC. (NPI# 1649504333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649504333 |
| Entity Type | Organization |
| Organization Name | GUARDIAN RESIDENTIAL SERVICES, INC. |
| Practice Address |
1510 Willow Lawn Dr Suite 10 Richmond VA 23230-3429 |
| Practice Telephone | 8043590613 |
| Practice Fax Number | 8043590614 |
| Mailing Telephone | 8043590613 |
| Mailing Fax Number | 8043590614 |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2009-09-28 |
| Authorized Official Name | MR. JOHN THOMAS REDD III (CEO) |
| Authorized Official Telephone | 8043590613 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | 1523-01-001 | VA | Agencies |
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1523-01-001 | VA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES | 1523-01-001 | 01 |
| Street Address |
1510 WILLOW LAWN DR SUITE 10 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23230-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841437415 | Lauren Roseman | Social Worker | 1510 Willow Lawn Dr, Suite 101, Richmond, VA 23230-3429 | 2009-01-19 |
| 1366907834 | My Legacy Counseling Services, LLC | Counselor | 1510 Willow Lawn Dr, Richmond, VA 23230-3429 | 2019-02-08 |
| 1295106243 | Terence Derrell Reaves | Social Worker | 1510 Willow Lawn Dr, Richmond, VA 23230-3429 | 2015-10-16 |
| 1306249347 | United Supportive Services of Virginia LLC | Local Education Agency (LEA) | 1510 Willow Lawn Dr, 100, Richmond, VA 23230-3429 | 2014-10-06 |
| 1518398874 | Kylie D. Smith | Social Worker | 1510 Willow Lawn Dr, Suite 101, Richmond, VA 23230-3429 | 2013-12-11 |
| 1902164486 | Danette C Brady | Counselor | 1510 Willow Lawn Dr, Suite 101, Richmond, VA 23230-3429 | 2012-05-02 |
| 1437423639 | Renee Norine Smith | Social Worker | 1510 Willow Lawn Dr, Suite Number 101, Richmond, VA 23230-3429 | 2012-03-06 |
| 1972810455 | Erin L Shadle | Social Worker | 1510 Willow Lawn Dr, Suite 101, Richmond, VA 23230-3429 | 2010-09-07 |
| 1447574991 | Lindsey T Ford | Social Worker | 1510 Willow Lawn Dr, Suite 101, Richmond, VA 23230-3429 | 2010-03-25 |
| 1134453814 | Wellness Group Youth & Family Services, Inc. | Day Training, Developmentally Disabled Services | 1510 Willow Lawn Dr, Suite 10, Richmond, VA 23230-3429 | 2009-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801382163 | Benjamin Joseph Hughes | Dentist | 6400 Forest Avenue, Ste 110, Richmond, VA 23230 | 2018-07-10 |
| 1265935712 | Anne Ganje | Dietitian, Registered | 6627 West Broad Street, Suite 400, Richmond, VA 23230 | 2018-03-12 |
| 1225537285 | Paul Dearman | Counselor | 4906 Cutshaw Ave Suite 105, Richmond, VA 23230 | 2018-02-06 |
| 1235647041 | Renewal Counseling & Consulting, LLC | Social Worker | 4914 Fitzhugh Ave Ste 101, Richmond, VA 23230 | 2018-01-15 |
| 1033637137 | Emily Z Johnson | Behavioral Analyst | 1701 Byrd Avenue, Richmond, VA 23230 | 2017-09-08 |
| 1104377530 | 1st Advanced Pediatric &adult Healthcare Services LLC | Home Health | 1518 Williow Lawn Dr., Richmond, VA 23230 | 2016-10-20 |
| 1952769770 | Geriatric Health Solutions LLC | Internal Medicine | 5602 Markel Road, Suite 102, Richmond, VA 23230 | 2016-02-08 |
| 1497148480 | We Help Our Adolescents | Community/Behavioral Health | 6010 West Broad St., Suite 103, Richmond, VA 23230 | 2015-03-14 |
| 1386081982 | C3 Healthcare Rx | Pharmacy | 2026 Dabney Rd, Richmond, VA 23230 | 2013-05-23 |
| 1619222767 | Bon Secours-virginia Healthsource Inc | Pharmacy | 6900 Forest Ave Ste 100, Richmond, VA 23230 | 2012-07-16 |
| Find all providers in zip 23230 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524766 | Latoya Steward | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 805 Admiral Gravely Blvd, Richmond, VA 23231 | 2020-10-07 |
| 1831758507 | Rives Residential Family Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4230 Fayette Cir, Richmond, VA 23222-1323 | 2019-06-06 |
| 1245898915 | Avid Home Care LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8626 Kingston Hollow Ct, Richmond, TX 77407-1205 | 2019-05-29 |
| 1184182925 | Safe Lite Care Incorporated | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5415 Carta Valley Ln, Richmond, TX 77469-6086 | 2019-03-12 |
| 1245700921 | Faderah Logistic | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21226 Barton Hollow Ln, Richmond, TX 77407-6418 | 2018-11-26 |
| 1730678723 | Affection Caring Angels LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 20014 Benton Springs Ln, Richmond, TX 77407-2670 | 2018-05-04 |
| 1093220378 | Abaco Healthcare LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6103 Meadow Bluff Ct, Richmond, TX 77407-4516 | 2017-12-07 |
| 1518484328 | Aga House of Faith LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9423 Bristle Bird Ln, Richmond, TX 77407-2048 | 2017-08-23 |
| 1477073625 | Riggins Residential, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 103 Luray Dr, Richmond, VA 23227-2046 | 2017-06-20 |
| 1881122141 | Aaboh Care LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 19314 Mission Cove Ln, Richmond, TX 77407-2558 | 2017-05-31 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.