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TYREK'S HEAVENLY ANGELS
NPI 1780726992
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fayetteville, NC

Active since February 13, 2007
1830 EICHELBERGER DR, FAYETTEVILLE, NC 28303(910) 425-6841(910) 485-4005 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tyrek's Heavenly Angels NPPES

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

TYREK'S HEAVENLY ANGELS (NPI 1780726992) 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 February 2007. The organization lists Patricia Ann Hill, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780726992
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameTYREK'S HEAVENLY ANGELS
Location Address1830 EICHELBERGER DRFayetteville, NC 28303-6257
Mailing Address1716 Bent Creek DrHope Mills, NC 28348 · (910) 425-6841 · Fax (910) 485-4005
Phone(910) 425-6841
Fax(910) 485-4005
Organization SubpartNo
Authorized OfficialPatricia Ann HillCeo · (910) 425-6841
Enumeration DateFebruary 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1780726992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in NC · MHL026770
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.
1830 EICHELBERGER DR, Fayetteville, NC 28303
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Other Identifiers 1

Medicaid6603559NC

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 Tyrek's Heavenly Angels's NPI number?

The NPI number for Tyrek's Heavenly Angels is 1780726992. It was assigned to this organization in the NPPES registry on February 13, 2007.

Where is Tyrek's Heavenly Angels located?

Tyrek's Heavenly Angels is located at 1830 Eichelberger Dr, Fayetteville, NC 28303. The listed phone number is (910) 425-6841.

What is Tyrek's Heavenly Angels'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 Tyrek's Heavenly Angels 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.