The Janice Mae Hawkins Foundation Inc

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

HC2410 Issued in NC

Legal business name

THE JANICE MAE HAWKINS FOUNDATION INC

Doing business as

S & S Associates Private Duty Nursing

Practice address

204 S Reilly Rd
Fayetteville, NC 28314-0340

Phone

(910) 864-3426

Fax

(910) 764-1457

NPI assigned

Jul 10, 2008

Organization subpart

Yes

Parent organization

S & S ASSOCIATES HOME HEALTH CARE AGENCYAs 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 Associates Private Duty Nursing Doing business as

Tax ID family

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

Part of

S S Associates Home Health Care

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 Spoonridge Group Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Fayetteville, NC
  • NPI 1467616318
  NPD tax ID
• The Janice Mae Hawkins Foundation, Inc.

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

Locations

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1649434598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S REILLY RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140340",
            "telephone_number": "910-864-3426",
            "fax_number": "910-764-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S REILLY RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140340",
            "telephone_number": "910-864-3426",
            "fax_number": "910-764-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JANICE MAE HAWKINS FOUNDATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "S & S ASSOCIATES HOME HEALTH CARE AGENCY",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "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": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "HC2410",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "HC2410",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601181",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S & S Associates Private Duty Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 Spoonridge Group Home)
• 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
• The Loving Home, Inc.

• Custodial Care Facility in Fayetteville, NC
• Providers in Fayetteville, 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 Jul 10, 2008; 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.