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HEAVENLY ANGELS GROUP HOME, INC
NPI 1457591356
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Greensboro, NC

Active since March 05, 2009
3725 ANITA LN, GREENSBORO, NC 27405(336) 358-2137(336) 358-2136 Get Directions Write a Review

NPPES record last updated: March 5, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heavenly Angels Group Home, Inc NPPES

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

HEAVENLY ANGELS GROUP HOME, INC (NPI 1457591356) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Greensboro, North Carolina and active in the NPI registry since March 2009. The organization lists Antoinetta Demtria Fulton, Onwer/ Director, as its authorized official.

NPPES Registry Identity

NPI1457591356
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameHEAVENLY ANGELS GROUP HOME, INC
Location Address3725 ANITA LNGreensboro, NC 27405-9412
Mailing Address503 W Mcgee StGreensboro, NC 27401-2702 · (336) 230-0808 · Fax (336) 230-0842
Phone(336) 358-2137
Fax(336) 358-2136
Organization SubpartNo
Authorized OfficialAntoinetta Demtria FultonOnwer/ Director · (336) 230-0808
Enumeration DateMarch 5, 2009
✔ NPI 1457591356 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 · MHL-041-895
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.
3725 ANITA LN, Greensboro, NC 27405
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Other Providers at the Same Location NPPES

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

HEAVELY ANGELS
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3725 ANITA LN
GREENSBORO, NC 27405
Guilford County (336) 617-3789

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 Heavenly Angels Group Home, Inc's NPI number?

The NPI number for Heavenly Angels Group Home, Inc is 1457591356. It was assigned to this organization in the NPPES registry on March 5, 2009.

Where is Heavenly Angels Group Home, Inc located?

Heavenly Angels Group Home, Inc is located at 3725 Anita Ln, Greensboro, NC 27405. The listed phone number is (336) 358-2137.

What is Heavenly Angels Group Home, Inc'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 Heavenly Angels Group Home, Inc was last updated on March 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.