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THE JANICE MAE HAWKINS FOUNDATION INC NPI 1649434598


NPI Information

NPI: 1649434598
Provider Name: THE JANICE MAE HAWKINS FOUNDATION INC

Doing Business As: S & S ASSOCIATES PRIVATE DUTY NURSING

Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization
Address:
204 S REILLY RD
FAYETTEVILLE, NC
ZIP 28314
Phone: (910) 864-3426
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THE JANICE MAE HAWKINS FOUNDATION INC is a custodial care facility in Fayetteville, NC. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. THE JANICE MAE HAWKINS FOUNDATION INC NPI is 1649434598. The provider is registered as an organization entity type.
The provider Is Doing Business As S & S Associates Private Duty Nursing.

The provider's business location address is:

204 S REILLY RD
FAYETTEVILLE, NC
ZIP 28314-340
Phone: (910) 864-3426
Fax: (910) 764-1457

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 7/10/2008.


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
1314000000XSkilled Nursing FacilityHC2410NORTH CAROLINANo
2311Z00000XCustodial Care FacilityHC2410NORTH 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
16601181MEDICAIDNORTH 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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