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EXCEL FOR LIFE, LLC (CHERRYRUN HOME)
NPI 1942369079
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Washington, NC

Active since December 06, 2006
2310 CHERRY RUN RD, WASHINGTON, NC 27889(252) 946-8069(252) 205-0381 Get Directions Write a Review

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

About Excel For Life, Llc (cherryrun Home) NPPES

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

EXCEL FOR LIFE, LLC (CHERRYRUN HOME) (NPI 1942369079) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Washington, North Carolina and active in the NPI registry since December 2006. The organization lists Mario Jermaine Jackson, Director, as its authorized official.

NPPES Registry Identity

NPI1942369079
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameEXCEL FOR LIFE, LLC (CHERRYRUN HOME)
Location Address2310 CHERRY RUN RDWashington, NC 27889-8366
Mailing Address2310 Cherry Run RdWashington, NC 27889-8366 · (252) 946-8069 · Fax (252) 205-0381
Phone(252) 946-8069
Fax(252) 205-0381
Organization SubpartNo
Authorized OfficialMario Jermaine JacksonDirector · (252) 205-0381
Enumeration DateDecember 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1942369079 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 · 007052
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.
2310 CHERRY RUN RD, Washington, NC 27889
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Other Providers at the Same Location NPPES

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

EXCEL 4 LIFE, INC
Residential Treatment Facility, Emotionally Disturbed Children
2310 CHERRY RUN RD
WASHINGTON, NC 27889
Beaufort County (252) 205-0381

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 Excel For Life, LLC (cherryrun Home)'s NPI number?

The NPI number for Excel For Life, LLC (cherryrun Home) is 1942369079. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Excel For Life, LLC (cherryrun Home) located?

Excel For Life, LLC (cherryrun Home) is located at 2310 Cherry Run Rd, Washington, NC 27889. The listed phone number is (252) 946-8069.

What is Excel For Life, LLC (cherryrun Home)'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 Excel For Life, LLC (cherryrun Home) 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.