Healthcare Provider Details

I. General information

NPI: 1245227578
Provider Name (Legal Business Name): EVERYAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 09/02/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 LEONARD AVE
NEWTON NC
28658-9649
US

IV. Provider business mailing address

100 LEONARD AVE
NEWTON NC
28658-9649
US

V. Phone/Fax

Practice location:
  • Phone: 828-464-8260
  • Fax: 828-465-8573
Mailing address:
  • Phone: 828-464-8264
  • Fax: 828-465-8573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNH0191
License Number StateNC

VIII. Authorized Official

Name: LEE B SYRIA
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 828-465-8019