JOYFUL LIVING GROUP HOME #3 (NPI# 1720398282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720398282 |
Entity Type | Organization |
Organization Name | JOYFUL LIVING GROUP HOME #3 |
Practice Address |
2809 Eldorado Rd Fayetteville NC 28306-1916 |
Practice Telephone | 9108648000 |
Practice Fax Number | 9108648007 |
Mailing Telephone | 9104830142 |
Mailing Fax Number | 9108648007 |
Enumeration Date | 2010-10-18 |
Last Update Date | 2010-10-18 |
Authorized Official Name | MS. WILLADEAN MCNEILL (OWNER) |
Authorized Official Telephone | 9105279045 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL026902 | NC | Residential Treatment Facilities |
Street Address |
2809 ELDORADO RD |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28306-1916 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013539501 | Lauren Lockhart | Pharmacist | 5106 Nc-87 #100, Fayetteville, NC 28306 | 2020-05-07 |
1528687472 | Edutherapy Connection LLC | Occupational Therapist | 3518 Grenedine Dr, Fayetteville, NC 28306 | 2020-04-10 |
1245708213 | Catherine H Cox | Speech-Language Pathologist | Southeastern Communication and Swallowing Specialists, 3530 Boone Trail, Fayetteville, NC 28306 | 2018-11-08 |
1720446776 | Wal-mart Store East, Lp | Technician/Technologist | 2820 Gillespie St., Fayetteville, NC 28306 | 2016-02-05 |
1720460017 | Sridhar Gottipati | Pharmacist | 10072 Southern Ave., Fayetteville, NC 28306 | 2015-06-23 |
1942687900 | St Marys Hca of South Carolina | Clinic/Center | 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306 | 2015-04-29 |
1649696204 | Kathryn Dries | Nurse Practitioner | 7496 Rockfish Road, Fayetteville, NC 28306 | 2014-03-06 |
1508288218 | Teresa Mcneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3608 Pickerel St, Fayetteville, NC 28306 | 2014-01-15 |
1740535715 | Harris Teeter, LLC | Pharmacy | 3050 Traemoor Village Dr, Fayetteville, NC 28306 | 2012-07-17 |
1184928848 | Hanora Medical Center, Pllc | Internal Medicine | 2620 Owen Dr, Fayetteville, NC 28306 | 2011-01-10 |
Find all providers in zip 28306 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841612215 | Ravenwood | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 190 Bonney Ln, Fayetteville, NC 28306-3736 | 2014-01-20 |
1508288218 | Teresa Mcneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3608 Pickerel St, Fayetteville, NC 28306 | 2014-01-15 |
1750713921 | The Loving Home, Inc. #4 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1710 Scampton Dr, Fayetteville, NC 28303-3742 | 2013-07-30 |
1336580620 | Sophia B. Pierce & Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1128 Paddington Pl, Fayetteville, NC 28314-6304 | 2013-07-15 |
1730457458 | Georgia Community Living Facilities LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 500 Lanier Ave W Ste 610, Fayetteville, GA 30214-7644 | 2011-12-08 |
1518274695 | Cyshelle Williams | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4604 Pine Needle Ct, Fayetteville, NC 28314-2463 | 2010-09-09 |
1639322472 | Joyful Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6125 Louise St, Fayetteville, NC 28314-2720 | 2008-10-24 |
1326291246 | Joyful Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1951 Ireland Dr, Fayetteville, NC 28304-1504 | 2008-10-23 |
1366699415 | Stepping Stones Group Homes, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1446 Pamalee Drive, Fayetteville, NC 28303 | 2008-08-20 |
1740476183 | Exton Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 400 Highway 314 # 314, Fayetteville, GA 30214-4001 | 2007-09-19 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 28306 |
Please comment or provide details below to improve the information on JOYFUL LIVING GROUP HOME #3.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.