# GUARDIAN ANGEL CARE SERVICES II

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194569319
- **Authorized official:** JESSICA NICOLE PORTER (OWNER)
- **Authorized official phone:** (850) 727-6705

## Contact information

- **Practice address:** 1371 CAVENDER CREEK RD, MINNEOLA, FL 34715-7785
- **Practice address phone:** (850) 727-6705
- **Practice address fax:** (850) 597-9485
- **Mailing address:** 1245 CEDAR CENTER DR STE 1, TALLAHASSEE, FL 32301-4857
- **Mailing address phone:** (850) 727-6705
- **Mailing address fax:** (850) 597-9485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 06/21/2024
- **Last updated:** 06/21/2024