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S & S SPOONRIDGE GROUP HOME
NPI 1467616318
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fayetteville, NC

Active since July 10, 2008
723 GLEN REILLY DR, FAYETTEVILLE, NC 28314(910) 864-3426(910) 491-6803 Get Directions Write a Review

NPPES record last updated: April 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About S & S Spoonridge Group Home NPPES

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

S & S SPOONRIDGE GROUP HOME (NPI 1467616318) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Fayetteville, North Carolina and active in the NPI registry since July 2008. The organization lists Sheryl Annette Lyons, Administrator Ceo, as its authorized official.

NPPES Registry Identity

NPI1467616318
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameTHE JANICE MAE HAWKINS FOUNDATION INC
Location Address723 GLEN REILLY DRFayetteville, NC 28314-5600
Mailing Address3359 Gables DriveFayetteville, NC 28301 · (910) 864-3426 · Fax (910) 491-6803
Phone(910) 864-3426
Fax(910) 491-6803
Organization SubpartYesParent: S & S Spoonridge Group Home
Authorized OfficialSheryl Annette LyonsAdministrator Ceo · (910) 864-3426
Enumeration DateJuly 10, 2008
Last NPPES UpdateApril 17, 2014
✔ NPI 1467616318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in NC · MHL026809
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X · License MHL026809 (NC)
723 GLEN REILLY DR, Fayetteville, NC 28314
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Other Names 1

Doing Business AsS & S Spoonridge Group Home

Other Identifiers 1

Medicaid3409680NC

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 The Janice Mae Hawkins Foundation Inc's NPI number?

The NPI number for The Janice Mae Hawkins Foundation Inc is 1467616318. It was assigned to this organization in the NPPES registry on July 10, 2008. The provider is doing business as S & S Spoonridge Group Home.

Where is The Janice Mae Hawkins Foundation Inc located?

The Janice Mae Hawkins Foundation Inc is located at 723 Glen Reilly Dr, Fayetteville, NC 28314. The listed phone number is (910) 864-3426.

What is The Janice Mae Hawkins Foundation Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for The Janice Mae Hawkins Foundation Inc was last updated on April 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.