LOWES GUARDIAN ANGEL LLC – NPI #1942571625
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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

LOWES GUARDIAN ANGEL LLC is a community based residential treatment facility located in RIVERDALE, GA. NPPES has assigned the NPI number 1942571625 to LOWES GUARDIAN ANGEL LLC on January 26, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LOWES GUARDIAN ANGEL LLC below.

NPI Profile for
LOWES GUARDIAN ANGEL LLC

NPI Number
1942571625
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LOWES GUARDIAN ANGEL LLC
Primary location
7056 EUNICE DR.
RIVERDALE, GA 30274
Phone: (678) 586-3171 Fax:
Mailing address
7056 EUNICE DR
RIVERDALE, GA 30274-3152
Phone: (678) 586-3171 Fax:
Organization Subpart
No
Authorized Official
GLENN LOWE
DDP
Phone: (404) 808-4859
Updated
Identifiers

Identifiers for LOWES GUARDIAN ANGEL LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDBHDD DEVELOPMENTAL DISABILITIES PROVIDERGA251911340
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
GA 251911340

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.