NPIMap

Organization Active NPI

Guardian Angel Healthcare, LLC

Doing business as The Alliance Center 2

  • Community/Behavioral Health Agency
  • Henderson, NC
National Provider Identifier
1801356316
Registry record updated Sep 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GUARDIAN ANGEL HEALTHCARE, LLC
Doing business as
The Alliance Center 2
Practice address
503 Dabney Dr
Henderson, NC 27536-3945
Phone
(252) 572-4005
Fax
(252) 598-0051
NPI assigned
Mar 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2021

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

Authorized official

Name
Cornelius Williams
Title
President / Ceo
Phone
(252) 204-1381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

503 Dabney Dr
Henderson, NC 27536-3945

Mailing address

PO Box 2002
Henderson, NC 27536-2002
Phone (252) 204-1381

Other practice location 1

123 Young St
Henderson, NC 27536-4248
Phone (252) 598-1010

Other names 1

  • The Alliance Center 2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Guardian Angel Healthcarellc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

123 Young St
Henderson, NC 27536
Phone (252) 598-1010

503 Dabney Dr
Henderson, NC 27536
Phone (252) 572-4005

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632528000000",
    "number": "1801356316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2002",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362002",
            "telephone_number": "252-204-1381",
            "fax_number": "252-598-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 DABNEY DR",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275363945",
            "telephone_number": "252-572-4005",
            "fax_number": "252-598-0051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Young St",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NC",
            "postal_code": "275364248",
            "country_code": "US",
            "telephone_number": "252-598-1010",
            "fax_number": "252-598-1021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CORNELIUS",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "252-204-1381"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Alliance Center 2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Alliance Center 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; 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.