Provider Demographics
NPI:1245227578
Name:EVERYAGE
Entity Type:Organization
Organization Name:EVERYAGE
Other - Org Name:ABERNETHY LAURELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNT REC. MGR
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:SUTTON
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-465-8021
Mailing Address - Street 1:102 LEONARD AVE
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NC
Mailing Address - Zip Code:28658-9649
Mailing Address - Country:US
Mailing Address - Phone:828-464-8260
Mailing Address - Fax:828-465-8573
Practice Address - Street 1:102 LEONARD AVE
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NC
Practice Address - Zip Code:28658-9649
Practice Address - Country:US
Practice Address - Phone:828-464-8260
Practice Address - Fax:828-465-8573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH0191314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3406100Medicaid
NC3405161Medicaid
NC3406100Medicaid