NPIMap

Organization Active NPI

My Guardian Angel Family Care Home

  • Adult Care Home Facility
  • Rocky Mount, NC
National Provider Identifier
1669070215
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
MY GUARDIAN ANGEL FAMILY CARE HOME
Practice address
514 Cokey Road
Rocky Mount, NC 27801
Phone
(252) 977-3368
Fax
(252) 977-3368
NPI assigned
Oct 15, 2020
Last updated
Oct 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vernon BryantNPI 1952845174
Title
Owner
Phone
(252) 813-1939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X NU
Adult Care Home Facility 311ZA0620X NU Primary
Non-emergency Medical Transport (VAN) 343900000X NU
Private Vehicle 347C00000X NU

Addresses

Primary practice location

514 Cokey Road
Rocky Mount, NC 27801

Mailing address

2001 Vernon Road
Rocky Mount, NC 27801-6348
Phone (252) 977-3368

National Provider Directory

National Provider Directory
Tax ID family
My Guardian Angel Family Care Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1669070215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 VERNON ROAD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278016348",
            "telephone_number": "252-977-3368",
            "fax_number": "252-977-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 COKEY ROAD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27801",
            "telephone_number": "252-977-3368",
            "fax_number": "252-977-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY GUARDIAN ANGEL FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "VERNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-813-1939"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.