JOYFUL LIVING GROUP HOME #3
NPI 1720398282
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fayetteville, NC
- Organization
- Residential Treatment Facility, Intellec...
- CLIA Number: 34D2287712
- CLIA Cert. Type: Other - 5600G GROUP HOME
- CLIA Exp. Date: 08-15-2027
About JOYFUL LIVING GROUP HOME #3
This page provides the complete NPI Profile along with additional information for Joyful Living Group Home #3, a provider established in Fayetteville, North Carolina operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1720398282 assigned on October 2010. The practitioner's primary taxonomy code is 320600000X with license number MHL026902 (NC). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Ms. Willadean Mcneill (Owner)
- NPI
- 1720398282 Verify this NPI
- Provider Name
- JOYFUL LIVING GROUP HOME #3
- Entity Type
- Organization
- Location Address
- 2809 ELDORADO RD FAYETTEVILLE, NC 28306
- Location Phone
- (910) 864-8000
- Location Fax
- (910) 864-8007
- Mailing Address
- 2809 ELDORADO RD FAYETTEVILLE, NC 28306
- Mailing Phone
- (910) 483-0142
- Mailing Fax
- (910) 864-8007
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-18-2010
- Last Update Date
- 10-18-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- License No.
- MHL026902
- License State
- NC
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2287712
- Facility Type
- Other - 5600G GROUP HOME
- Certificate Effective Date
- August 16, 2025
- Certificate Expiration Date
- August 15, 2027
- Laboratory Director
- WILLA DEAN MCNEILL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Joyful Living Group Home #3 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720398282, enumerated as an "organization" on October 18, 2010.
The provider is located at 2809 ELDORADO RD FAYETTEVILLE, NC 28306 and the phone number is (910) 864-8000.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
