Guardian Care 1, 2, 3, 4, Changing Lives, Safe Haven,Bridge Of Hope
LBN: Spirit Of Excellence Community Outreach,Inc.
Guardian Care 1, 2, 3, 4, Changing Lives, Safe Haven,Bridge Of Hope is an health care organization with primary practice located at 123 Henderson Dr , Jacksonville NC 28540-5601. The organization recently has 9 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Home Health, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Adult Mental Health, Nursing & Custodial Care Facilities / Adult Care Home, 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 / Psychiatric Residential Treatment Facility. Agencies / Home Health is the primary health care specialty.
Spirit Of Excellence Community Outreach,Inc. can be contacted via phone (910) 939-4663, or through Fludd, Helen Delorise via phone (910) 382-6595.
Contact Information
Primary practice address
123 Henderson Dr
Jacksonville NC 28540-5601
Phone: (910) 939-4663
Fax: (910) 939-5079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | ||
| Agencies / Home Health | 251E00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | ||
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | ||
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | ||
| Residential Treatment Facilities / Psychiatric Residential Treatment Facility | 323P00000X | MHL-067-164 | North Carolina |
Profile Details
| NPI number | 1942333240 |
|---|---|
| LBN Legal business name | Spirit Of Excellence Community Outreach,Inc. |
| DBA Doing business as | Guardian Care 1, 2, 3, 4, Changing Lives, Safe Haven,Bridge Of Hope |
| Authorized official | Fludd, Helen Delorise |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Feb 2nd, 2015 - about 9 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 | 1942333240 | NPPES |
| North Carolina | MEDICAID | 3418119 | |
| North Carolina | MEDICAID | 8301352 | |
| North Carolina | MEDICAID | 8301352G | |
| North Carolina | MEDICAID | 3408311 | |
| North Carolina | MEDICAID | 6602173 | |
| North Carolina | Other | 001GM | |
| North Carolina | Other | 009EJ | |
| North Carolina | MEDICAID | 6006360 | |
| North Carolina | MEDICAID | 7805061 | |
| North Carolina | MEDICAID | 6601227 | |
| North Carolina | MEDICAID | 8301352B |
Popular Providers
-
Golden Gates Homecare Agency, Llc
200 Valencia Dr Suite 165, Jacksonville NC 28546-6311 -
Ursula White
137 White Oak Blvd , Jacksonville NC 28546-4538 -
Lower Cape Fear Hospice Incorporated
2970 Henderson Dr , Jacksonville NC 28546-5244 -
Well Care Home Care
1715 Country Club Rd Ste C , Jacksonville NC 28546-6042 -
Continuum Ii Home Care & Hospice, Inc.
3391 Henderson Dr , Jacksonville NC 28546-5231 -
Helping Hands Community Support Services, Inc.
817 Littlejohn Ave , Jacksonville NC 28546-5517 -
Coordinated Health Services, Inc.
399 Johnson Blvd , Jacksonville NC 28540-5426 -
Americare Of North Carolina
205 W Bayshore Blvd , Jacksonville NC 28540-5339