Organization · NPI-2

Guardian Angel Homes LLC

Custodial Care Facility, Adult Care Home · Racine, WI

NPI number1376452136
StatusActive
Last updated in NPPESSep 4, 2026

Details

NPI
1376452136
Entity type
Organization (NPI-2)
Legal business name
Guardian Angel Homes LLC
Organization subpart
No
Enumeration date
Sep 4, 2026
Certification date
Sep 4, 2026
Last updated
Sep 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311ZA0620X Custodial Care Facility, Adult Care Home––Yes

Practice location

1815 Lasalle St Lowr
Racine, WI 53402-4629

Phone 262-260-8565 · Fax 262-290-4882

Mailing address

2312 16th Pl
Kenosha, WI 53140-1812

Phone 262-883-7817 · Fax 262-290-4882

Authorized official

Natasha L Evans
Owner
2628837817

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