Guardian Care
LBN: Spirit Of Excellence Community Outreach, Inc
Guardian Care is an health care organization with primary practice located at 510 Crissy Dr , Jacksonville NC 28540-9183. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, 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.
Spirit Of Excellence Community Outreach, Inc can be contacted via phone (910) 219-0459, or through Hines, Chante Giselle via phone (910) 265-0304.
Contact Information
Primary practice address
510 Crissy Dr
Jacksonville NC 28540-9183
Phone: (910) 219-0459
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | North Carolina | |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | MHL-067-157 | North Carolina |
Profile Details
| NPI number | 1508291683 |
|---|---|
| LBN Legal business name | Spirit Of Excellence Community Outreach, Inc |
| DBA Doing business as | Guardian Care |
| Authorized official | Hines, Chante Giselle |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 9th, 2013 |
| Last updated | Sep 10th, 2013 - about 12 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 | 1508291683 | NPPES |
| North Carolina | MEDICAID | 3418119 |
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