GUARDIAN ANGEL HEALTHCARE,LLC (NPI# 1821146069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821146069 |
| Entity Type | Organization |
| Organization Name | GUARDIAN ANGEL HEALTHCARE,LLC |
| Other Organization Name | CHARLES STREET FACILITY |
| Practice Address |
270 Charles St Henderson NC 27536-4328 |
| Mailing Address |
107 Currin Ln Warrenton NC 27589-2249 |
| Practice Telephone | 2524921152 |
| Mailing Telephone | 2522579349 |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CORNELIUS WILLIAMS (PRESIDENTREGISTERED AGENT) |
| Authorized Official Telephone | 2522579349 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL091065 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603653 | 05 |
| Other Name | Type Code |
|---|---|
| Charles Street Facility | Doing Business As Name - Organization |
| Street Address |
270 CHARLES ST |
| City | HENDERSON |
| State | NC |
| Zip Code | 27536-4328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609197896 | Guardian Angel Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 270 Charles St, Henderson, NC 27536-4328 | 2010-06-22 |
| 1437205788 | Guardian Angel Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 270 Charles St, Henderson, NC 27536-4328 | 2007-01-26 |
| 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 |
| Find all providers in zip 27536 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700046372 | London Family and Children's Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2026 Silverton Dr, Henderson, NV 89074-1550 | 2008-06-16 |
| 1346429495 | Apple Grove Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 2060 Waverly Cir, Henderson, NV 89014-4593 | 2007-10-25 |
| 1255453163 | Select Care Home Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 233 Gholson Ave, Henderson, NC 27536-4547 | 2007-04-04 |
| 1942333232 | Walker's Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 110 S Clark St, Henderson, NC 27536-5015 | 2007-03-14 |
| 1376691519 | Guardian Angel Healthcare | Residential Treatment Facility, Emotionally Disturbed Children | 273 Gillburg Rd, Henderson, NC 27537-7555 | 2007-01-06 |
| 1568070720 | A Day To Prevail Family Enhancement LLC | Residential Treatment Facility, Emotionally Disturbed Children | 327 Via Della Greca, Henderson, NV 89011-1701 | 2020-07-14 |
| 1619118809 | Select Care Home Services LLC | Residential Treatment Facility, Emotionally Disturbed Children | 233 Gholson Ave, Henderson, NC 27536-4547 | 2009-03-17 |
| 1881882421 | Apple Grove Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 368 Placer Creek Ln, Henderson, NV 89014-4557 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617255 | Creative Helping Hands LLC | Residential Treatment Facility, Emotionally Disturbed Children | 478 Green Lake Rd, Rockingham, NC 28379-7850 | 2020-10-19 |
| 1083237986 | Revive Housing LLC | Residential Treatment Facility, Emotionally Disturbed Children | 210 Sunset Dr Apt 615, Salisbury, NC 28147-7147 | 2020-05-26 |
| 1457998627 | Re Health Group | Residential Treatment Facility, Emotionally Disturbed Children | 1102 Groves St, Kings Mountain, NC 28086-2232 | 2019-12-05 |
| 1821631532 | Marquita Latrice Walls | Residential Treatment Facility, Emotionally Disturbed Children | 1565 Longbranch Rd, Grover, NC 28073-9599 | 2019-10-25 |
| 1699233866 | A Brighter Path LLC | Residential Treatment Facility, Emotionally Disturbed Children | 120 Jetter Rd, Grover, NC 28073-9687 | 2019-03-06 |
| 1821562224 | Carter Clinic, Pa | Residential Treatment Facility, Emotionally Disturbed Children | 703 W 3rd Ave Bldg A, Red Springs, NC 28377-1524 | 2019-01-18 |
| 1659842607 | Gervonia Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1714 Aster Ln, Gastonia, NC 28054-8303 | 2018-12-16 |
| 1679058440 | Miracle Houses Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7827 Kerrybrook Cir, Charlotte, NC 28214-2513 | 2018-09-27 |
| 1174048078 | A Safe Place Community Housing, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2049 Highland St, Charlotte, NC 28208-4909 | 2017-08-11 |
| 1104346881 | Inspiration for Us | Residential Treatment Facility, Emotionally Disturbed Children | 1205 W Mountain St, Kernersville, NC 27284-2173 | 2017-06-22 |
| Find all providers with the same taxonomy | ||||
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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.