The Janice Mae Hawkins Foundation Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL026809 Issued in NC

Legal business name

THE JANICE MAE HAWKINS FOUNDATION INC

Doing business as

S & S Spoonridge Group Home

Practice address

723 Glen Reilly Dr
Fayetteville, NC 28314-5600

Phone

(910) 864-3426

Fax

(910) 491-6803

NPI assigned

Jul 10, 2008

Organization subpart

Yes

Parent organization

S & S SPOONRIDGE GROUP HOMEAs reported in NPPES

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

Authorized official

Name

Ms. Sheryl Annette Lyons, RN BSN

Title

Administrator Ceo

Phone

(910) 864-3426

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• S & S Spoonridge Group Home Doing business as

Tax ID family

The Janice Mae Hawkins Foundation4 organizations share this tax ID, including this one

Part of

The Janice Mae Hawkins Foundation

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• The Janice Mae Hawkins Foundation

  dba S & S Spoonridge #2

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Fayetteville, NC
  • NPI 1295154391
  NPD tax ID
• The Janice Mae Hawkins Foundation Inc

  dba S & S Associates Private Duty Nursing

  • Custodial Care Facility
  • Fayetteville, NC
  • NPI 1649434598
  NPD tax ID
• The Janice Mae Hawkins Foundation, Inc.

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1982735239
  NPD tax ID

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1467616318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3359 GABLES DRIVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28301",
            "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": "723 GLEN REILLY DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145600",
            "telephone_number": "910-864-3426",
            "fax_number": "910-491-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JANICE MAE HAWKINS FOUNDATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "S & S SPOONRIDGE GROUP HOME",
        "enumeration_date": "2008-07-10",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR CEO",
        "authorized_official_telephone_number": "910-864-3426",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL026809",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL026809",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409680",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S & S Spoonridge Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Conversation Location PLLC
• The Ferncreek Group PLLC
• The Healing Place of NC, Inc.
• The Integrity Nurse Consultants LLC (Integrated Wellness Care Management Solutions)
• The Janice Mae Hawkins Foundation (S & S Spoonridge #2)
• The Janice Mae Hawkins Foundation Inc (S & S Associates Private Duty Nursing)
• The Janice Mae Hawkins Foundation, Inc. (S & S Spoonridge PSR Program)
• The Janice Mae Hawkins Foundation, Inc.
• The Jones Center for Women's Health PLLC
• The Loving Home #3

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.