Guardian Angel Healthcare
NPI 1720136963 · Community/Behavioral Health Agency · Macon, NC
Guardian Angel Healthcare is a Community/Behavioral Health Agency organization in Macon, NC (NPI 1720136963).
Provider details
- NPI number
- 1720136963
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Cornelius Williams, President Registered Agent(252) 204-1381
- License
- MHL093034 (NC)
Specialties & taxonomies
Agencies
- Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000XLicense MHL093034 (NC)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Willow Road Facility
- Doing business as
- Willow Road Facility
Registry dates
- Enumerated
- 2007-01-06
- Last updated
- 2021-09-25
- Certified
- 2021-09-25
Frequently asked questions
- What is Guardian Angel Healthcare's NPI number?
- Guardian Angel Healthcare's National Provider Identifier (NPI) is 1720136963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Guardian Angel Healthcare?
- Guardian Angel Healthcare is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Guardian Angel Healthcare located?
- Guardian Angel Healthcare's practice location on file with NPPES is 474 Macon Embro Rd, Macon, NC 27551-9285.
- What is Guardian Angel Healthcare's phone number?
- The practice phone number listed in the NPPES registry for Guardian Angel Healthcare is (252) 257-1380.
- Who is the authorized official for Guardian Angel Healthcare?
- The authorized official listed on Guardian Angel Healthcare's NPPES record is Cornelius Williams, President Registered Agent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Guardian Angel Healthcare's NPI active?
- Yes — Guardian Angel Healthcare's NPI (1720136963) is active in the NPPES registry as of the last update on 2021-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.