The Janice Mae Hawkins Foundation, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

MHL-026-953 Issued in NC

Legal business name

THE JANICE MAE HAWKINS FOUNDATION, INC.

Doing business as

S & S Spoonridge PSR Program

Practice address

3359 Gables Dr
Fayetteville, NC 28301-7648

Phone

(910) 864-3426

Fax

(910) 491-6803

NPI assigned

Oct 28, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sheryl Lyons

Title

Ceo

Phone

(910) 864-3426

Specialties & licenses 1

Addresses

Other names 1

• S & S Spoonridge PSR Program Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1013312446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3359 GABLES DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283017648",
            "telephone_number": "910-864-3426",
            "fax_number": "910-491-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3359 GABLES DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283017648",
            "telephone_number": "910-864-3426",
            "fax_number": "910-491-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JANICE MAE HAWKINS FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-864-3426"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "MHL-026-953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S & S Spoonridge PSR Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Healing Place of NC, Inc.
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• The Janice Mae Hawkins Foundation (S & S Spoonridge #2)
• The Janice Mae Hawkins Foundation Inc (S & S Spoonridge Group Home)
• The Janice Mae Hawkins Foundation Inc (S & S Associates Private Duty Nursing)
• The Janice Mae Hawkins Foundation, Inc.
• The Jones Center for Women's Health PLLC
• The Loving Home #3
• The Loving Home, Inc.
• The Loving Home, Inc.

• Developmentally Disabled Services Day Training Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.