My Guardian Angel Group Home
LBN: Brenda W Bryan
My Guardian Angel Group Home is an health care organization with primary practice located at 2001 Vernon Rd , Rocky Mount NC 27801. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty.
Brenda W Bryan can be contacted via phone (252) 977-1956, or through Bryant, Brenda via phone (252) 977-1956.
Contact Information
Primary practice address
2001 Vernon Rd
Rocky Mount NC 27801
Phone: (252) 977-1956
Fax: (252) 977-1956
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | MHL033046 | North Carolina |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | MHL033046 | North Carolina |
Profile Details
| NPI number | 1376724039 |
|---|---|
| LBN Legal business name | Brenda W Bryan |
| DBA Doing business as | My Guardian Angel Group Home |
| Authorized official | Bryant, Brenda |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 21st, 2007 |
| Last updated | Aug 1st, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376724039 | NPPES |
| North Carolina | MEDICAID | 7805933 |
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