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: August 16, 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.

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
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

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

Other Names 1

Doing Business AsMy Guardian Angel Group Home

Other Identifiers 1

Medicaid7805933NC

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 Brenda W Bryan's NPI number?

The NPI number for Brenda W Bryan is 1376724039. It was assigned to this organization in the NPPES registry on November 21, 2007. The provider is doing business as My Guardian Angel Group Home.

Where is Brenda W Bryan located?

Brenda W Bryan is located at 2001 Vernon Rd, Rocky Mount, NC 27801. The listed phone number is (252) 977-1956.

What is Brenda W Bryan's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Brenda W Bryan was last updated on August 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.