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THE JANICE MAE HAWKINS FOUNDATION INC NPI 1467616318


NPI Information

NPI: 1467616318
Provider Name: THE JANICE MAE HAWKINS FOUNDATION INC

Doing Business As: S & S SPOONRIDGE GROUP HOME

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
723 GLEN REILLY DR
FAYETTEVILLE, NC
ZIP 28314
Phone: (910) 864-3426
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THE JANICE MAE HAWKINS FOUNDATION INC is a residential treatment facility, intellectual and/or developmental disabilities in Fayetteville, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. THE JANICE MAE HAWKINS FOUNDATION INC NPI is 1467616318. The provider is registered as an organization entity type.
The provider Is Doing Business As S & S Spoonridge Group Home.

The provider's business location address is:

723 GLEN REILLY DR
FAYETTEVILLE, NC
ZIP 28314-600
Phone: (910) 864-3426
Fax: (910) 491-6803

The provider's authorized official is Sheryl Annette Lyons .
The authorized official title is Administrator Ceo and has the following contact phone number (910) 864-3426.

The enumeration date for this NPI number is 7/10/2008 and was last updated on 4/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL026809NORTH CAROLINANo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL026809NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13409680MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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