MY GUARDIAN ANGEL FAMILY CARE HOME (NPI# 1669070215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669070215 |
| Entity Type | Organization |
| Organization Name | MY GUARDIAN ANGEL FAMILY CARE HOME |
| Practice Address |
514 Cokey Road Rocky Mount NC 27801 |
| Mailing Address |
2001 Vernon Road Rocky Mount NC 27801-6348 |
| Practice Telephone | 2529773368 |
| Practice Fax Number | 2529773368 |
| Mailing Telephone | 2529773368 |
| Mailing Fax Number | 2529773368 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | VERNON BRYANT (OWNER) |
| Authorized Official Telephone | 2528131939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811430267 | My Guardian Angel Family Care Home | Custodial Care Facility | 514 Cokey Rd, Rocky Mount, NC 27801-5641 | 2016-12-01 |
| Street Address |
514 COKEY ROAD |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1376724039 | Brenda W Bryan | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2001 Vernon Rd, Rocky Mount, NC 27801 | 2007-11-21 |
| 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 | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1891235818 | Kinillie Family Care Home | Custodial Care Facility | 448 Pleasant Hill Rd, Rocky Mount, NC 27801-8708 | 2017-02-24 |
| 1437609179 | Eugene C Davenport | Custodial Care Facility | 1327 Echo Lake Ln, Rocky Mount, NC 27803-2564 | 2016-10-06 |
| 1235688953 | Mary Robinson | Custodial Care Facility | 735 Rose St, Rocky Mount, NC 27801-5875 | 2016-09-22 |
| 1609100171 | Floyd Home Care, Inc. | Custodial Care Facility | 116 Wayne St, Rocky Mount, NC 27804-3752 | 2009-09-30 |
| 1093929754 | Knight's Family Care Homes | Custodial Care Facility | 3305 Greenfield Dr, Rocky Mount, NC 27804-8238 | 2007-05-10 |
| 1164567715 | We Care Family Care Home | Custodial Care Facility | 1101 Hill St, Rocky Mount, NC 27801-6002 | 2007-02-21 |
| 1962547505 | Your Loving Care Family Care Home | Custodial Care Facility | 730 Marigold St, Rocky Mount, NC 27801-5908 | 2007-02-21 |
| 1588702484 | Swelton Heights Haven | Custodial Care Facility | 1321 Mcdearman St, Rocky Mount, NC 27804-2640 | 2007-02-02 |
| 1083779383 | Ncal - Rocky Mount, Inc. | Custodial Care Facility | 918 Westwood Dr, Rocky Mount, NC 27803-2532 | 2006-12-27 |
| Find all providers in ROCKY MOUNT | ||||
| City | ROCKY MOUNT |
| Zip Code | 27801 |
Please comment or provide details below to improve the information on MY GUARDIAN ANGEL FAMILY CARE HOME.
| 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.