Healthcare Provider Details

I. General information

NPI: 1124015458
Provider Name (Legal Business Name): EVERYAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

100 HEDRICK DR
THOMASVILLE NC
27360-6009
US

IV. Provider business mailing address

100 HEDRICK DR
THOMASVILLE NC
27360-6009
US

V. Phone/Fax

Practice location:
  • Phone: 336-472-2017
  • Fax: 336-474-3895
Mailing address:
  • Phone: 336-472-2017
  • Fax: 336-474-3895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNH0390
License Number StateNC

VIII. Authorized Official

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