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COVINGTON HOUSE OF RALEIGHLLC NPI 1205902079


NPI Information

NPI: 1205902079
Provider Name: COVINGTON HOUSE OF RALEIGH,LLC

Doing Business As: PINE TREE VILLA

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
4510 DURALEIGH RD
RALEIGH, NC
ZIP 27612
Phone: (919) 791-1981
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COVINGTON HOUSE OF RALEIGH,LLC is an assisted living facility in Raleigh, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. COVINGTON HOUSE OF RALEIGH,LLC NPI is 1205902079. The provider is registered as an organization entity type.
The provider Is Doing Business As Pine Tree Villa.

The provider's business location address is:

4510 DURALEIGH RD
RALEIGH, NC
ZIP 27612-534
Phone: (919) 791-1981
Fax: (919) 791-1986

The provider's authorized official is Charlie E Trefzger .
The authorized official title is Manager and has the following contact phone number (828) 324-8898.

The enumeration date for this NPI number is 11/25/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityHAL-092-121NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17805597MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.