S & S SPOONRIDGE #2 – NPI #1295154391
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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.

S & S SPOONRIDGE #2 is a residential treatment facility located in FAYETTEVILLE, NC. NPPES has assigned the NPI number 1295154391 to S & S SPOONRIDGE #2 on April 16, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “S & S SPOONRIDGE #2” is a dba name, the actual legal business name for this organization is THE JANICE MAE HAWKINS FOUNDATION. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for S & S SPOONRIDGE #2 below.

NPI Profile for
THE JANICE MAE HAWKINS FOUNDATION

NPI Number
1295154391
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE JANICE MAE HAWKINS FOUNDATION
Doing Business As (dba): S & S SPOONRIDGE #2
Primary location
3359 GABLES DR.
FAYETTEVILLE, NC 28301
Phone: (910) 864-3426 Fax: (910) 491-6803
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHERYL LYONS
CEO
Phone: (910) 864-3426
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
NC MHL026891

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.