Evans Walston Home LLC
NPI 1063843274 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fuquay Varina, NC
Evans Walston Home LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Fuquay Varina, NC (NPI 1063843274).
Provider details
- NPI number
- 1063843274
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Glenda Evans Walston, Owner/Operator(919) 552-1312
- License
- MHL 092248 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense MHL 092248 (NC)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Evans Walston Home
Registry dates
- Enumerated
- 2013-12-13
- Last updated
- 2013-12-13
Frequently asked questions
- What is Evans Walston Home LLC's NPI number?
- Evans Walston Home LLC's National Provider Identifier (NPI) is 1063843274, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evans Walston Home LLC?
- Evans Walston Home LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Evans Walston Home LLC located?
- Evans Walston Home LLC's practice location on file with NPPES is 808 Hawks View Ct, Fuquay Varina, NC 27526-6642.
- What is Evans Walston Home LLC's phone number?
- The practice phone number listed in the NPPES registry for Evans Walston Home LLC is (919) 552-1312.
- Who is the authorized official for Evans Walston Home LLC?
- The authorized official listed on Evans Walston Home LLC's NPPES record is Glenda Evans Walston, Owner/Operator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evans Walston Home LLC's NPI active?
- Yes — Evans Walston Home LLC's NPI (1063843274) is active in the NPPES registry as of the last update on 2013-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.