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MY GUARDIAN ANGEL FAMILY CARE HOME NPI 1669070215


NPI Information

NPI: 1669070215
Provider Name: MY GUARDIAN ANGEL FAMILY CARE HOME
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
514 COKEY ROAD
ROCKY MOUNT, NC
ZIP 27801
Phone: (252) 977-3368
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MY GUARDIAN ANGEL FAMILY CARE HOME is an adult care home custodial care facility in Rocky Mount, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. MY GUARDIAN ANGEL FAMILY CARE HOME NPI is 1669070215. The provider is registered as an organization entity type.

The provider's business location address is:

514 COKEY ROAD
ROCKY MOUNT, NC
ZIP 27801
Phone: (252) 977-3368
Fax: (252) 977-3368

The provider's authorized official is Vernon Bryant .
The authorized official title is Owner and has the following contact phone number (252) 813-1939.

The enumeration date for this NPI number is 10/15/2020 and was last updated on 10/15/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311Z00000XCustodial Care FacilityNo
2343900000XNon-emergency Medical Transport (VAN)No
3347C00000XPrivate VehicleNo
4311ZA0620XCustodial Care FacilityAdult Care HomeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.