Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heavenly Angels Group Home, Inc

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1457591356

Heavenly Angels Group Home, Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3725 Anita Ln
Greensboro, NC 27405-9412
Phone: (336) 358-2137
Fax: (336) 358-2136
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence MHL-041-895 (NC)

Record details

NPI number1457591356
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antoinetta Fulton — Onwer/ Director · (336) 230-0808
NPI enumeratedMarch 5, 2009
Last updated in NPPESMarch 5, 2009
Mailing address503 W McGee St, Greensboro, NC 27401-2702

Other providers in Greensboro