OrganizationActive
Guardian Servant Care, LLC
NPI 1962811141 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Grapevine, TX
Provider details
- NPI number
- 1962811141
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Edgar Gonatice, Managing Director(808) 640-5878
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
620 Berkley Dr
Grapevine, TX 76051-5190
Phone: (808) 640-5878
Street-level locationGet directions
Mailing address
620 Berkley Dr
Grapevine, TX 76051-5190
Registry dates
- Enumerated
- 2014-08-12
- Last updated
- 2014-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.