GUARDIAN ANGEL HEALTHCARE, LLC (NPI# 1609197896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609197896 |
| Entity Type | Organization |
| Organization Name | GUARDIAN ANGEL HEALTHCARE, LLC |
| Other Organization Name | ESTHER'S PLACE FACILITY |
| Practice Address |
270 Charles St Henderson NC 27536-4328 |
| Practice Telephone | 2525724487 |
| Practice Fax Number | 2525722147 |
| Mailing Telephone | 2525724487 |
| Mailing Fax Number | 2525722147 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |
| Authorized Official Name | MR. CORNELIUS WILLIAMS (PRESIDENT/REGISTERED AGENT) |
| Authorized Official Telephone | 2525724487 |
| Is Organization Subpart | N |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3418365 | 05 |
| Other Name | Type Code |
|---|---|
| Esther's Place Facility | Doing Business As Name - Organization |
| 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 |
| 1437205788 | Guardian Angel Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 270 Charles St, Henderson, NC 27536-4328 | 2007-01-26 |
| Street Address |
270 CHARLES ST |
| City | HENDERSON |
| State | NC |
| Zip Code | 27536-4328 |
| 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 |
| 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 | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| 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] |
| 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 | ||||
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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.