Everlasting Care

Primary specialty

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

License

MHL-026-800 Issued in NC

Legal business name

EVERLASTING CARE

Practice address

4635 Kirk Shaw Rd
Hope Mills, NC 28348-7507

Phone

(910) 485-4361

Fax

(910) 485-4361

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Catherine Lennon Kirk

Title

Owner

Phone

(910) 485-4361

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962575845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 KIRK SHAW ROAD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "28348",
            "telephone_number": "910-485-4361",
            "fax_number": "910-485-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 KIRK SHAW RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283487507",
            "telephone_number": "910-485-4361",
            "fax_number": "910-485-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERLASTING CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "LENNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-485-4361",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-026-800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805180",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Hope Mills, NC
• 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 Aug 22, 2020; 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.