Evans Forever Young Family Care Home

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

FCL-001-051 Issued in NC

Legal business name

EVANS FOREVER YOUNG FAMILY CARE HOME

Practice address

3746 Danieley Water Wheel Rd
Burlington, NC 27217-7925

Phone

(336) 584-1968

Fax

(336) 584-4500

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Erma J Evans

Title

Owner

Phone

(336) 584-1968

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376685800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3746 DANIELEY WATER WHEEL RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272177925",
            "telephone_number": "336-584-1968",
            "fax_number": "336-584-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3746 DANIELEY WATER WHEEL RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272177925",
            "telephone_number": "336-584-1968",
            "fax_number": "336-584-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS FOREVER YOUNG FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ERMA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-584-1968",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "FCL-001-051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801641",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Errandz for U Inc
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• Essence of Care, Inc
• Eucodimus Family Care Home LLC
• Darrell Brian Evans Sr., CRNA, NP
• Latraikeyonnia Pridgen Evans, RN
• Shaikiema Evans
• Alexa Everhart, FNP
• Everside Health Alamance County

• Custodial Care Facility in Burlington, NC
• Providers in Burlington, NC by specialty
• Custodial Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.