BRENDA W BRYAN (NPI# 1376724039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376724039 |
| Entity Type | Organization |
| Organization Name | BRENDA W BRYAN |
| Other Organization Name | MY GUARDIAN ANGEL GROUP HOME |
| Practice Address |
2001 Vernon Rd Rocky Mount NC 27801 |
| Practice Telephone | 2529771956 |
| Practice Fax Number | 2529771956 |
| Mailing Telephone | 2529771956 |
| Mailing Fax Number | 2529771956 |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2008-08-01 |
| Authorized Official Name | BRENDA BRYANT (OWNER) |
| Authorized Official Telephone | 2529771956 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL033046 | NC | Residential Treatment Facilities |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL033046 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7805933 | 05 |
| Other Name | Type Code |
|---|---|
| My Guardian Angel Group Home | Doing Business As Name - Organization |
| Street Address |
2001 VERNON RD |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070215 | My Guardian Angel Family Care Home | Custodial Care Facility | 514 Cokey Road, Rocky Mount, NC 27801 | 2020-10-15 |
| 1487268660 | Tiambra Armeire Battle | Occupational Therapist | 1900 Windsor Drive, Rocky Mount, NC 27801 | 2020-09-03 |
| 1639661796 | Opportunities Industrialization Center, Inc | Clinic/Center | 260 Albemarle Avenue, Rocky Mount, NC 27801 | 2018-06-05 |
| 1891290466 | Your Best Life Awaits Counseling & Coaching Institute, Pllc | Clinic/Center | 107 Se Main St Suite 203, Rocky Mount, NC 27801 | 2018-03-27 |
| 1922352434 | Southern Mattress Co. Inc. | Durable Medical Equipment & Medical Supplies | 1812 Cokey Road, Rocky Mount, NC 27801 | 2012-11-06 |
| 1275805046 | Kota Transport Service LLC | Non-emergency Medical Transport (VAN) | 1125 South Cambridge Circle, Rocky Mount, NC 27801 | 2012-02-08 |
| 1750543781 | Jones and Jones Enterprises LLC | Community/Behavioral Health | 907 East Holly Street, Rocky Mount, NC 27801 | 2008-07-01 |
| 1235316035 | Claire Smith | Pharmacist | 130 Sw Main Street, Almand's Drug Store, Rocky Mount, NC 27801 | 2008-01-24 |
| 1104007723 | House of Hope | Clinic/Center | 2416 Sheve Rd., Rocky Mount, NC 27801 | 2007-11-26 |
| 1548465925 | Harrold and Associates Dental Care | Dentist | 105 Wayfarer Court, Rocky Mount, NC 27801 | 2007-06-18 |
| Find all providers in zip 27801 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043500572 | Motivated Caring | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1205 Bermuda Rd, Rocky Mount, NC 27801-5102 | 2011-04-18 |
| 1093017238 | Making A Difference Grouphome | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1820 Bedford Rd, Rocky Mount, NC 27801-6303 | 2010-11-19 |
| 1699080705 | Thank You Lord(tyl) | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2612 Winstead Rd, Rocky Mount, NC 27804-4127 | 2010-08-12 |
| 1164755351 | Open Arms Family Srvices, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 612 Mayfair Dr, Rocky Mount, NC 27803-1180 | 2009-09-07 |
| 1508003443 | Carolina Humana Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1008 Wilkins St, Rocky Mount, NC 27803-3822 | 2009-01-14 |
| 1699834812 | American Health LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 173 S Winstead Ave, Rocky Mount, NC 27804-3420 | 2006-12-06 |
| 1033664842 | Williams Home Sweet Home 2 | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1832 Springfield Rd, Rocky Mount, NC 27801-3060 | 2016-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455126 | A Place 4 Me, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 | 2020-07-28 |
| 1922623792 | Our Home At Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 | 2020-06-08 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1710443395 | Unity 4 Us Community Outreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 406 Lincoln St, Belmont, NC 28012-3045 | 2019-02-19 |
| 1871059444 | Believing Everyone Succeeds Together | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 323 Shady Grove Rd, Kings Mtn, NC 28086-9671 | 2019-02-19 |
| 1740744283 | Tri Plex Industries Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9635 Southern Pine Blvd Ste 154, Charlotte, NC 28273-5564 | 2019-01-29 |
| 1316415037 | Igr Collaborations | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 212 Pine Ridge Dr, Roanoke Rapids, NC 27870-6832 | 2018-11-12 |
| 1164924940 | David Douglas Whitfield | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5342 Us Highway 301 North, Micro, NC 27555 | 2018-03-07 |
| 1710489976 | Moravian Enterprises, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 North Elm St., Suite 810, Greensboro, NC 27401 | 2018-03-05 |
| 1659897833 | Shelby Day Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 621 S Dekalb St Ste A, Shelby, NC 28150-6189 | 2017-08-18 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY MOUNT |
| Zip Code | 27801 |
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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.