Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Extended Reach Daytreatment for Childrena and Adolescents LLC

Case Management Agency in Fayetteville, NC · enumerated 2011 · authorized official Andrea Boatman-Hall, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1740587591

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Registry record

Entity type Organization (Type 2)

Legal business name Extended Reach Daytreatment for Childrena and Adolescents LLC

Practice address 302 Bradford Ave, Fayetteville, NC, 28301

Phone (910) 484-0095

Fax (919) 238-7287

Enumeration date Feb 14, 2011

Last updated in NPPES Feb 14, 2011

Taxonomy & classification

251B00000X Case Management Agency Agencies Primary

Authorized official

Name Andrea Boatman-Hall

Title Ceo

Phone (910) 229-8256

Other identifiers

Identifier	Type	State	Issuer
6006927	Medicaid	NC	-
8302339	Medicaid	NC	-
8302981	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Extended Reach Daytreatment for Childrena and Adolescents LLC?

NPPES lists Andrea Boatman-Hall (Ceo) as the authorized official for this organization.

What is the NPI number for Extended Reach Daytreatment for Childrena and Adolescents LLC?

The NPI for Extended Reach Daytreatment for Childrena and Adolescents LLC is 1740587591, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-02-14.