Organization Active NPI

The Janice Mae Hawkins Foundation, Inc.

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1982735239
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-026-809 Issued in NC
Legal business name
THE JANICE MAE HAWKINS FOUNDATION, INC.
Practice address
3359 Gables Dr.
Fayetteville, NC 28301
Phone
(910) 864-3426
Fax
(910) 764-1457
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Prof. Sheryl Annette Lyons, RN, BSN, SANE, CLNC,
Title
Ceo Administrator
Phone
(910) 864-3426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-026-809 NC Primary

Addresses

Primary practice location

3359 Gables Dr.
Fayetteville, NC 28301

Mailing address

3359 Gables Dr.
Fayetteville, NC 28301-0340
Phone (910) 864-3426

Other identifiers 1

IdentifierTypeStateIssuer
3409680MedicaidNC

Other names 1

  • S & S Spoonridge Other name

National Provider Directory

National Provider Directory
Tax ID family
The Janice Mae Hawkins Foundation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3359 Gables Dr
Fayetteville, NC 28301
Phone (910) 864-3426

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1982735239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3359 GABLES DR.",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283010340",
            "telephone_number": "910-864-3426",
            "fax_number": "910-491-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3359 GABLES DR.",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28301",
            "telephone_number": "910-864-3426",
            "fax_number": "910-764-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JANICE MAE HAWKINS FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "CEO ADMINISTRATOR",
        "authorized_official_telephone_number": "910-864-3426",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "RN, BSN, SANE, CLNC,"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-026-809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409680",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S & S Spoonridge",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 16, 2014; 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.