=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891658548
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TOYA FOSTER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/08/2025
-----------------------------------------------------
Last Update Date | 12/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 109 ROANOKE ST
-----------------------------------------------------
City | REIDSVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27320-3023
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-637-7625
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 623 S PIERCE ST APT B
-----------------------------------------------------
City | EDEN
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27288-6357
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-637-7625
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 311ZA0620X
-----------------------------------------------------
Taxonomy Name | Adult Care Home Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------