Organization Active NPI

Sisterly Love

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Raeford, NC
National Provider Identifier
1487028254
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
SISTERLY LOVE
Practice address
170 Club Pond Rd
Raeford, NC 28376-9291
Phone
(910) 904-0728
Fax
(910) 904-0728
NPI assigned
Nov 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Ms. Sharonda Ferguson
Title
Residential Director
Phone
(910) 476-7880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

170 Club Pond Rd
Raeford, NC 28376-9291

Mailing address

170 Club Pond Rd
Raeford, NC 28376-9291
Phone (910) 476-7880

Other names 1

  • Sisterly Love Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1487028254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CLUB POND RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283769291",
            "telephone_number": "910-476-7880",
            "fax_number": "910-904-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CLUB POND RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283769291",
            "telephone_number": "910-904-0728",
            "fax_number": "910-904-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERLY LOVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "SHARONDA",
        "authorized_official_title_or_position": "RESIDENTIAL DIRECTOR",
        "authorized_official_telephone_number": "910-476-7880",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sisterly Love",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.