Organization
GUARDIAN ANGEL HEALTHCARE, LLC
Active
Other names
Esther's Place Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORNELIUS WILLIAMS (PRESIDENT/REGISTERED AGENT)
(252) 204-1381
Entity
Organization
Contact information
Practice address
270 CHARLES ST, HENDERSON, NC 27536-4328
(252) 572-4487
(252) 572-2147
Mailing address
270 CHARLES ST, HENDERSON, NC 27536-4328
(252) 572-4487
(252) 572-2147
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-091-087
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418365
—
NC
Enumeration date
06/22/2010
Last updated
09/25/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up