Provider Demographics
NPI:1811412935
Name:ALWAYS PLAY WITH A PURPOSE LLC
Entity Type:Organization
Organization Name:ALWAYS PLAY WITH A PURPOSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:CARROLL
Authorized Official - Last Name:HINESLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-460-4170
Mailing Address - Street 1:199 WESTSIDE CIR
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27205-2235
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:199 WESTSIDE CIR
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27205-2235
Practice Address - Country:US
Practice Address - Phone:336-267-1593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-09
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5254101Medicaid