Jeremiah'S Place
LBN: Guardian Angel Healthcare, Llc
Jeremiah'S Place is an health care organization with primary practice located at 314 S Garnett St Suite 202, Henderson NC 27536-4538. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Guardian Angel Healthcare, Llc can be contacted via phone (252) 492-9205, or through Williams, Cornelius via phone (252) 257-9349.
Contact Information
Primary practice address
314 S Garnett St Suite 202
Henderson NC 27536-4538
Phone: (252) 492-9205
Fax: (252) 492-9088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | MHL091077 | North Carolina |
Profile Details
| NPI number | 1346396793 |
|---|---|
| LBN Legal business name | Guardian Angel Healthcare, Llc |
| DBA Doing business as | Jeremiah'S Place |
| Authorized official | Williams, Cornelius |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 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 | 1346396793 | NPPES |
| North Carolina | MEDICAID | 7805648 |
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