Charles Street Facility

LBN: Guardian Angel Healthcare,Llc
Charles Street Facility is an health care organization with primary practice located at 270 Charles St , Henderson NC 27536-4328. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Guardian Angel Healthcare,Llc can be contacted via phone (252) 492-1152, or through Williams, Cornelius via phone (252) 257-9349.

Contact Information

Primary practice address
270 Charles St Henderson NC 27536-4328
Phone: (252) 492-1152
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Williams, Cornelius
Phone: (252) 257-9349

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL091065 North Carolina

Profile Details

NPI number 1821146069
LBN Legal business name Guardian Angel Healthcare,Llc
DBA Doing business as Charles Street Facility
Authorized official Williams, Cornelius
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2007
Last updated Aug 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821146069 NPPES
North Carolina MEDICAID 6603653

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