GUARDIAN ANGEL HEALTHCARE, LLC


Address: 270 Charles St, Henderson, NC 27536-4328
Phone: 2525722146

GUARDIAN ANGEL HEALTHCARE, LLC (NPI# 1437205788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437205788
Entity Type Organization
Organization Name GUARDIAN ANGEL HEALTHCARE, LLC
Other Organization Name ESTHER'S PLACE
Practice Address 270 Charles St
Henderson
NC 27536-4328
Mailing Address 107 Currin Ln
Warrenton
NC 27589-2249
Practice Telephone 2525722146
Practice Fax Number 2525722147
Mailing Telephone 2522134394
Mailing Fax Number 2525722147
Enumeration Date 2007-01-26
Last Update Date 2010-06-15
Authorized Official Name MR. CORNELIUS WILLIAMS (OWNER)
Authorized Official Telephone 2525724487
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities MHL-091-087 NC Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Esther's Place Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1801356316 Guardian Angel Healthcare, LLC Community/Behavioral Health 123 Young St, Henderson, NC 27536-4248 2019-03-21
1346396793 Guardian Angel Healthcare, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 314 S Garnett St, Suite 202, Henderson, NC 27536-4538 2007-01-26
1174082036 Guardian Angel Healthcare, LLC Community/Behavioral Health 121 Young St, Henderson, NC 27536-4248 2019-03-19
1609197896 Guardian Angel Healthcare, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 270 Charles St, Henderson, NC 27536-4328 2010-06-22

Office Location

Street Address 270 CHARLES ST
City HENDERSON
State NC
Zip Code 27536-4328

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821146069 Guardian Angel Healthcare,llc Residential Treatment Facility, Emotionally Disturbed Children 270 Charles St, Henderson, NC 27536-4328 2007-01-06
1609197896 Guardian Angel Healthcare, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 270 Charles St, Henderson, NC 27536-4328 2010-06-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952940926 Lane and Associates Xxxvi Dds Pa Dentist 900 South Garnett St., Henderson, NC 27536 2019-12-23
1487012076 Melissa Burroughs Registered Nurse 943-h W. Andrews Avenue, Henderson, NC 27536 2016-02-10
1578949269 Growth Recovery Opportunity & Wellness Community/Behavioral Health 804 South Garnett St, Henderson, NC 27536 2015-08-04
1003290297 Saintpaulhealthcarept, Inc. Home Health 839 E Montgomery St, Henderson, NC 27536 2015-07-17
1518369859 Kristina Thornton Pharmacist 200 North Cooper Road, Henderson, NC 27536 2014-09-18
1306285135 Green Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 429 Sunnyview Road, Henderson, NC 27536 2013-06-14
1760820278 Innovative Health Services In Home Supportive Care 1758 Parham Street, Henderson, NC 27536 2013-06-06
1578900015 Frances Veronica Finamore Counselor 710 Parham Street, Henderson, NC 27536 2013-05-23
1952530834 Sucessful Achievements Program Incorporated Driver 133 Us 1 A, Norlina, NC 27536 2009-07-13
1407096100 Recovery Response Center Psychiatric Hospital 300 Parkview Drive, Henderson, NC 27536 2009-02-20
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639567134 Wilkins Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 117 Carmel Ridge Rd, Henderson, NC 27537-8306 2015-01-06
1346643160 The Turner Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1945 Carey Chapel Road, Henderson, NC 27537 2014-10-07
1306285994 Brown Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6789 Vicksboro Road, Henderson, NC 27537 2013-06-18
1881033546 Hansard Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4361 Warrenton Rd, Henderson, NC 27537-9339 2013-06-17
1245679992 Suggs Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 831 E Montgomery St, Henderson, NC 27536-5024 2013-06-17
1518306349 Peace Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 80 Bliley Lane, Henderson, NC 27537 2013-06-14
1306285135 Green Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 429 Sunnyview Road, Henderson, NC 27536 2013-06-14
1477762904 P&w Group Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2636 Warrenton Rd, Henderson, NC 27537-9355 2007-05-22
1770603920 Savannah House of Love Group Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 334 Pearl St, Henderson, NC 27536-3639 2007-03-30
1144376864 Envision Healthcare, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 490 Barker Rd, Henderson, NC 27537-8873 2007-01-26
Find all providers in HENDERSON

Competitor

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City HENDERSON
Zip Code 27536

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Dataset Information

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.

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