1. Home
  2. Directory
  3. North Carolina
  4. Fuquay Varina
  5. Community Based Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

EVANS WALSTON HOME
NPI 1063843274
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fuquay Varina, NC

Active since December 13, 2013
808 HAWKS VIEW CT, FUQUAY VARINA, NC 27526(919) 552-1312(919) 552-1312 Get Directions Write a Review

NPPES record last updated: December 13, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evans Walston Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVANS WALSTON HOME (NPI 1063843274) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Fuquay Varina, North Carolina and active in the NPI registry since December 2013. The organization lists Glenda Judd Evans Walston, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1063843274
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameEVANS WALSTON HOME LLC
Location Address808 HAWKS VIEW CTFuquay Varina, NC 27526-6642
Mailing Address808 Hawks View CtFuquay Varina, NC 27526-6642 · (919) 552-1312
Phone(919) 552-1312
Fax(919) 552-1312
Organization SubpartNo
Authorized OfficialGlenda Judd Evans WalstonOwner/operator · (919) 552-1312
Enumeration DateDecember 13, 2013
✔ NPI 1063843274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in NC · MHL 092248
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

808 HAWKS VIEW CT, Fuquay Varina, NC 27526
Open in Google Maps ↗

Other Names 1

Doing Business AsEvans Walston Home

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GIVING GRACE, LLC
In Home Supportive Care
808 HAWKS VIEW CT
FUQUAY VARINA, NC 27526
Wake County (919) 669-2254

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evans Walston Home LLC's NPI number?

The NPI number for Evans Walston Home LLC is 1063843274. It was assigned to this organization in the NPPES registry on December 13, 2013. The provider is doing business as Evans Walston Home.

Where is Evans Walston Home LLC located?

Evans Walston Home LLC is located at 808 Hawks View Ct, Fuquay Varina, NC 27526. The listed phone number is (919) 552-1312.

What is Evans Walston Home LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Evans Walston Home LLC was last updated on December 13, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.