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MY GUARDIAN ANGEL GROUP HOME
NPI 1376724039
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Rocky Mount, NC

Active since November 21, 2007
2001 VERNON RD, ROCKY MOUNT, NC 27801(252) 977-1956(252) 977-1956 Get Directions Write a Review

NPPES record last updated: August 1, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About My Guardian Angel Group Home NPPES

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

MY GUARDIAN ANGEL GROUP HOME (NPI 1376724039) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Rocky Mount, North Carolina and active in the NPI registry since November 2007. The organization lists Brenda Bryant, Owner, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1376724039
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBRENDA W BRYAN
Location Address2001 VERNON RDRocky Mount, NC 27801
Mailing Address2001 Vernon RdRocky Mount, NC 27801 · (252) 977-1956 · Fax (252) 977-1956
Phone(252) 977-1956
Fax(252) 977-1956
Organization SubpartNo
Authorized OfficialBrenda BryantOwner · (252) 977-1956
Enumeration DateNovember 21, 2007
Last NPPES UpdateAugust 1, 2008
✔ NPI 1376724039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in NC · MHL033046
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X · License MHL033046 (NC)
2001 VERNON RD, Rocky Mount, NC 27801
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Other Names 1

Doing Business AsMy Guardian Angel Group Home

Other Identifiers 1

Medicaid7805933NC

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Frequently Asked Questions

What is BRENDA W BRYAN's NPI number?

The NPI number assigned to this healthcare provider is 1376724039, enumerated as an "organization" on November 21, 2007.

Where is the provider located?

The provider is located at 2001 VERNON RD ROCKY MOUNT, NC 27801 and the phone number is (252) 977-1956.

What is the provider's specialty?

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

What insurance does BRENDA W BRYAN accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.