NPIMap

Organization Active NPI

Joyful Living Group Home #3

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Fayetteville, NC
National Provider Identifier
1720398282
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL026902 Issued in NC
Legal business name
JOYFUL LIVING GROUP HOME #3
Practice address
2809 Eldorado Rd
Fayetteville, NC 28306-1916
Phone
(910) 864-8000
Fax
(910) 864-8007
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Ms. Willadean McNeill
Title
Owner
Phone
(910) 527-9045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL026902 NC Primary

Addresses

Primary practice location

2809 Eldorado Rd
Fayetteville, NC 28306-1916

Mailing address

2809 Eldorado Rd
Fayetteville, NC 28306-1916
Phone (910) 483-0142

National Provider Directory

National Provider Directory
Tax ID family
Joyful Living Group Home 33 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1720398282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 ELDORADO RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283061916",
            "telephone_number": "910-483-0142",
            "fax_number": "910-864-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 ELDORADO RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283061916",
            "telephone_number": "910-864-8000",
            "fax_number": "910-864-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYFUL LIVING GROUP HOME #3",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "MCNEILL",
        "authorized_official_first_name": "WILLADEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-527-9045",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL026902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.