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

FOREVER YOUNG GROUP CARE
NPI 1861530073
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fayetteville, NC

Active since February 01, 2007
6121 HILCO DR, FAYETTEVILLE, NC 28314(910) 527-0258(910) 864-2548 Get Directions Write a Review

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

About Forever Young Group Care NPPES

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

FOREVER YOUNG GROUP CARE (NPI 1861530073) 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 Jerry Lorenzo Flood, Director, as its authorized official.

NPPES Registry Identity

NPI1861530073
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameFOREVER YOUNG GROUP CARE
Location Address6121 HILCO DRFayetteville, NC 28314-2024
Mailing Address1133 Chestnut Wood DrFayetteville, NC 28314-1890 · (910) 527-0258 · Fax (910) 864-2548
Phone(910) 527-0258
Fax(910) 864-2548
Organization SubpartNo
Authorized OfficialJerry Lorenzo FloodDirector · (910) 527-0258
Enumeration DateFebruary 1, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1861530073 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 · MHL026562
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.
6121 HILCO DR, Fayetteville, NC 28314
Open in Google Maps ↗

Other Identifiers 1

Medicaid6604010NC

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's NPI number?

The NPI number for Forever Young Group Care is 1861530073. It was assigned to this organization in the NPPES registry on February 1, 2007.

Where is Forever Young Group Care located?

Forever Young Group Care is located at 6121 Hilco Dr, Fayetteville, NC 28314. The listed phone number is (910) 527-0258.

What is Forever Young Group Care'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 Forever Young Group Care 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 6 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.