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GUARDIAN CARE 1, 2, 3, 4, CHANGING LIVES, SAFE HAVEN,BRIDGE OF HOPE
NPI 1942333240
Home Health in Jacksonville, NC

Active since March 14, 2007CLIA 34D2133275 · Waiver
123 HENDERSON DR, JACKSONVILLE, NC 28540(910) 939-4663(910) 939-5079 Get Directions Write a Review

NPPES record last updated: February 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Guardian Care 1, 2, 3, 4, Changing Lives, Safe Haven,bridge Of Hope NPPES

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

GUARDIAN CARE 1, 2, 3, 4, CHANGING LIVES, SAFE HAVEN,BRIDGE OF HOPE (NPI 1942333240) is a healthcare organization registered as a home health in Jacksonville, North Carolina and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through July 9, 2027 and lists Helen Delorise Fludd, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942333240
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSPIRIT OF EXCELLENCE COMMUNITY OUTREACH,INC.
Location Address123 HENDERSON DRJacksonville, NC 28540-5601
Mailing AddressPo Box 752Jacksonville, NC 28541-0752 · (910) 939-4663 · Fax (910) 939-5079
Phone(910) 939-4663
Fax(910) 939-5079
Organization SubpartNo
Authorized OfficialHelen Delorise FluddCeo · (910) 382-6595
Enumeration DateMarch 14, 2007
Last NPPES UpdateFebruary 2, 2015
✔ NPI 1942333240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X · License MHL-067-164 (NC)
123 HENDERSON DR, Jacksonville, NC 28540
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Other Names 1

Doing Business AsGuardian Care 1, 2, 3, 4, Changing Lives, Safe Haven,bridge Of Hope

Other Identifiers 11

Other009EJNC · Blue Cross Blue Shield
Medicaid6006360NC
Medicaid3418119NC
Medicaid6601227NC
Medicaid7805061NC
Medicaid8301352BNC
Other001GMNC · Blue Cross Blue Shield
Medicaid8301352NC
Medicaid3408311NC
Medicaid6602173NC
Medicaid8301352GNC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2133275

Spirit Of Excellence Community Outreach Inc · Jacksonville, NC
Active · expires Jul 9, 2027
CLIA Number34D2133275
Laboratory TypeGroup Home
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorEvangeline I. Neufville
Laboratory Phone(910) 939-4663
Laboratory LocationSpirit Of Excellence Community Outreach Inc510 Crissy Drive, Jacksonville, NC 28540
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

MRS. HELEN D FLUDD
Community Health Worker
123 HENDERSON DR
JACKSONVILLE, NC 28540
Onslow County (910) 939-4663
SHEILA ANNE MAARAN R.N.
Registered Nurse
123 HENDERSON DR
JACKSONVILLE, NC 28540
Onslow County (910) 353-5555
HEATHER PAXTON LCMHCA
Counselor (Mental Health)
123 HENDERSON DR
JACKSONVILLE, NC 28540
Onslow County (910) 939-4663
MRS. BERNADETTE CONLIN OHARA CSAC
Military Health Care Provider
123 HENDERSON DR
JACKSONVILLE, NC 28540
Onslow County (910) 938-2004

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 1942333240. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is doing business as Guardian Care 1, 2, 3, 4, Changing Lives, Safe Haven,bridge Of Hope.

Where is Spirit Of Excellence Community Outreach,inc. located?

Spirit Of Excellence Community Outreach,inc. is located at 123 Henderson Dr, Jacksonville, NC 28540. The listed phone number is (910) 939-4663.

What is Spirit Of Excellence Community Outreach,inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Spirit Of Excellence Community Outreach,inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2133275) is associated with this NPI, valid through July 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Spirit Of Excellence Community Outreach,inc. was last updated on February 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.