GUARDIAN CARE
NPI 1508291683
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, NC

Active since September 09, 2013
510 CRISSY DR, JACKSONVILLE, NC 28540(910) 219-0459 Get Directions Write a Review

NPPES record last updated: September 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Guardian Care NPPES

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

GUARDIAN CARE (NPI 1508291683) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Jacksonville, North Carolina and active in the NPI registry since September 2013. The organization lists Chante Giselle Hines, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1508291683
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSPIRIT OF EXCELLENCE COMMUNITY OUTREACH, INC
Location Address510 CRISSY DRJacksonville, NC 28540-9183
Mailing AddressPo Box 752Jacksonville, NC 28541-0752 · (910) 382-6595
Organization SubpartNo
Authorized OfficialChante Giselle HinesOffice Manager · (910) 265-0304
Enumeration DateSeptember 9, 2013
Last NPPES UpdateSeptember 10, 2013
NPI 1508291683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code320900000X
License Licensed in NC · MHL-067-157
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
510 CRISSY DR, Jacksonville, NC 28540

Other Names 1

Doing Business AsGuardian Care

Other Identifiers 1

Medicaid3418119NC

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 Spirit Of Excellence Community Outreach, Inc's NPI number?

The NPI number for Spirit Of Excellence Community Outreach, Inc is 1508291683. It was assigned to this organization in the NPPES registry on September 9, 2013. The provider is doing business as Guardian Care.

Where is Spirit Of Excellence Community Outreach, Inc located?

Spirit Of Excellence Community Outreach, Inc is located at 510 Crissy Dr, Jacksonville, NC 28540. The listed phone number is (910) 219-0459.

What is Spirit Of Excellence Community Outreach, Inc'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 Spirit Of Excellence Community Outreach, Inc was last updated on September 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.