Forever Young Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC4229 Issued in NC

Legal business name

FOREVER YOUNG HOME CARE

Practice address

2309 W Cone Blvd
Suite 205
Greensboro, NC 27408-4044

Phone

(336) 740-9450

Fax

(336) 740-9455

NPI assigned

Mar 27, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer S Parker

Title

President

Phone

(336) 740-9450

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1346516077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 W CONE BLVD",
            "address_2": "SUITE 205",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084044",
            "telephone_number": "336-740-9450",
            "fax_number": "336-740-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 W CONE BLVD",
            "address_2": "SUITE 205",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084044",
            "telephone_number": "336-740-9450",
            "fax_number": "336-740-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER YOUNG HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-740-9450",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phileecia Ford
• Preston Lee Ford, DDS
• Tonya Dianne Fordham
• Lyric Foreman
• Leah Forester, SLP
• Forge Counseling
• Nicole Forlan, WHNP-BC
• Caroline Elizabeth Forman, M.A., CCC-SLP
• Hazel Forman
• Kristen Suzanne Forneris, M.S., NCC, LPCA

• In Home Supportive Care Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.