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JEREMIAH'S PLACE
NPI 1346396793
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Henderson, NC

Active since January 26, 2007
314 S GARNETT ST, SUITE 202, HENDERSON, NC 27536(252) 492-9205(252) 492-9088 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremiah's Place NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMIAH'S PLACE (NPI 1346396793) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Henderson, North Carolina and active in the NPI registry since January 2007. The organization lists Cornelius Williams, President - Registered Agent, as its authorized official.

NPPES Registry Identity

NPI1346396793
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameGUARDIAN ANGEL HEALTHCARE, LLC
Location Address314 S GARNETT ST, SUITE 202Henderson, NC 27536-4538
Mailing Address107 Currin LnWarrenton, NC 27589-2249 · (252) 257-9349 · Fax (252) 492-9088
Phone(252) 492-9205
Fax(252) 492-9088
Organization SubpartNo
Authorized OfficialCornelius WilliamsPresident - Registered Agent · (252) 257-9349
Enumeration DateJanuary 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1346396793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in NC · MHL091077
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
314 S GARNETT ST, Henderson, NC 27536
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Other Names 1

Doing Business AsJeremiah's Place

Other Identifiers 1

Medicaid7805648NC

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARTNERS WITH PEOPLE LLC
Nursing Home Administrator
314 S GARNETT ST
HENDERSON, NC 27536
Vance County (252) 654-7084
PARTNERS 4 PEOPLE, LLC
Community/Behavioral Health
314 S GARNETT ST
HENDERSON, NC 27536
Vance County (919) 225-6338
YOUTHFUL SOLUTIONS, INC.
Community/Behavioral Health
314 S GARNETT ST
HENDERSON, NC 27536
Vance County (336) 512-1288

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Guardian Angel Healthcare, LLC's NPI number?

The NPI number for Guardian Angel Healthcare, LLC is 1346396793. It was assigned to this organization in the NPPES registry on January 26, 2007. The provider is doing business as Jeremiah's Place.

Where is Guardian Angel Healthcare, LLC located?

Guardian Angel Healthcare, LLC is located at 314 S Garnett St Suite 202, Henderson, NC 27536. The listed phone number is (252) 492-9205.

What is Guardian Angel Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Guardian Angel Healthcare, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.