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FOREVER YOUNG GROUP CARE LLC
NPI 1780713834
Community/Behavioral Health in Fayetteville, NC

Active since March 05, 2007
351 WAGONER DR, STE 328, FAYETTEVILLE, NC 28303(910) 864-9148(910) 864-2548 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Forever Young Group Care Llc NPPES

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

FOREVER YOUNG GROUP CARE LLC (NPI 1780713834) is a healthcare organization registered as a community/behavioral health in Fayetteville, North Carolina and active in the NPI registry since March 2007. The organization lists Jerry Flood, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1780713834
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameFOREVER YOUNG GROUP CARE LLC
Location Address351 WAGONER DR, STE 328Fayetteville, NC 28303-4608
Mailing Address351 Wagoner Dr, Ste 328Fayetteville, NC 28303-4608 · (910) 864-9148 · Fax (910) 864-2548
Phone(910) 864-9148
Fax(910) 864-2548
Organization SubpartNo
Authorized OfficialJerry FloodExecutive Director · (910) 864-9148
Enumeration DateMarch 5, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1780713834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
351 WAGONER DR, Fayetteville, NC 28303
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Other Identifiers 1

Medicaid8301520NC

Other Providers at the Same Location NPPES 20

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

IYVONE EKELE AGBELE
Behavior Technician
351 WAGONER DR
FAYETTEVILLE, NC 28303
Cumberland County (910) 491-0061
BRITTANY HINTON
Behavior Technician
351 WAGONER DR
FAYETTEVILLE, NC 28303
Cumberland County (910) 491-0061
DELMAR COUNSELING SERVICES
Community/Behavioral Health
351 WAGONER DR, SUITE 411
FAYETTEVILLE, NC 28303
Cumberland County (910) 401-3855
CONNECT COUNSELING SERVICES
Social Worker (Clinical)
351 WAGONER DR, STE 319
FAYETTEVILLE, NC 28303
Cumberland County (919) 346-6699
MACKENZIE SUTTON
Behavior Technician
351 WAGONER DR
FAYETTEVILLE, NC 28303
Cumberland County (910) 491-0061
ELIZABETH PATRICIA BROCKMAN
Behavior Technician
351 WAGONER DR
FAYETTEVILLE, NC 28303
Cumberland County (910) 491-0061
TANIAH NICOLE WILLIAMS
Behavior Technician
351 WAGONER DR
FAYETTEVILLE, NC 28303
Cumberland County (910) 491-0061
TANISHA R JAMES LCSW
Social Worker (Clinical)
351 WAGONER DR, SUITE 310
FAYETTEVILLE, NC 28303
Cumberland County (910) 475-8888

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 Forever Young Group Care LLC's NPI number?

The NPI number for Forever Young Group Care LLC is 1780713834. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Forever Young Group Care LLC located?

Forever Young Group Care LLC is located at 351 Wagoner Dr Ste 328, Fayetteville, NC 28303. The listed phone number is (910) 864-9148.

What is Forever Young Group Care LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Forever Young Group Care LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.