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
Fax:
Website:
Authorized official contact:
Name: Hines, Chante Giselle

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 11 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 1508291683 NPPES
North Carolina MEDICAID 3418119

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