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GUARDIAN ANGEL HEALTHCARE LLC NPI 1437205788


NPI Information

NPI: 1437205788
Provider Name: GUARDIAN ANGEL HEALTHCARE, LLC

Doing Business As: ESTHER'S PLACE

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
270 CHARLES ST
HENDERSON, NC
ZIP 27536
Phone: (252) 572-2146
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GUARDIAN ANGEL HEALTHCARE, LLC is a residential treatment facility, intellectual and/or developmental disabilities in Henderson, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. GUARDIAN ANGEL HEALTHCARE, LLC NPI is 1437205788. The provider is registered as an organization entity type.
The provider Is Doing Business As Esther's Place.

The provider's business location address is:

270 CHARLES ST
HENDERSON, NC
ZIP 27536-328
Phone: (252) 572-2146
Fax: (252) 572-2147

The provider's authorized official is Cornelius Williams .
The authorized official title is Owner and has the following contact phone number (252) 572-4487.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 6/15/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-091-087NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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