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CHARLES STREET FACILITY
NPI 1821146069
Residential Treatment Facility, Emotionally Disturbed Children in Henderson, NC

Active since January 06, 2007
270 CHARLES ST, HENDERSON, NC 27536(252) 492-1152 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Street Facility NPPES

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

CHARLES STREET FACILITY (NPI 1821146069) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Henderson, North Carolina and active in the NPI registry since January 2007. The organization lists Cornelius Williams, Presidentregistered Agent, as its authorized official.

NPPES Registry Identity

NPI1821146069
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameGUARDIAN ANGEL HEALTHCARE,LLC
Location Address270 CHARLES STHenderson, NC 27536-4328
Mailing Address107 Currin LnWarrenton, NC 27589-2249 · (252) 257-9349
Phone(252) 492-1152
Organization SubpartNo
Authorized OfficialCornelius WilliamsPresidentregistered Agent · (252) 257-9349
Enumeration DateJanuary 6, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1821146069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in NC · MHL091065
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
270 CHARLES ST, Henderson, NC 27536
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Other Names 1

Doing Business AsCharles Street Facility

Other Identifiers 1

Medicaid6603653NC

Other Providers at the Same Location NPPES 2

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

GUARDIAN ANGEL HEALTHCARE, LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
270 CHARLES ST
HENDERSON, NC 27536
Vance County (252) 572-2146
GUARDIAN ANGEL HEALTHCARE, LLC
Community/Behavioral Health
270 CHARLES ST
HENDERSON, NC 27536
Vance County (252) 572-4487

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 1821146069. It was assigned to this organization in the NPPES registry on January 6, 2007. The provider is doing business as Charles Street Facility.

Where is Guardian Angel Healthcare,llc located?

Guardian Angel Healthcare,llc is located at 270 Charles St, Henderson, NC 27536. The listed phone number is (252) 492-1152.

What is Guardian Angel Healthcare,llc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

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.