Active NPI
Sisterly Love
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Raeford, NC
National Provider Identifier
1487028254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.