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NEW HANOVER HOUSE LLC NPI 1972889715


NPI Information

NPI: 1972889715
Provider Name: NEW HANOVER HOUSE, LLC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 34D2035971

Address:
3915 STEDWICK COURT
WILMINGTON, NC
ZIP 28412
Phone: (910) 632-2671
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NEW HANOVER HOUSE, LLC is an adult care home custodial care facility in Wilmington, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. NEW HANOVER HOUSE, LLC NPI is 1972889715. The provider is registered as an organization entity type.

The provider's business location address is:

3915 STEDWICK COURT
WILMINGTON, NC
ZIP 28412
Phone: (910) 632-2671
Fax: (910) 632-2676

The provider's authorized official is Charles E Trefzger .
The authorized official title is Manager and has the following contact phone number (828) 322-5535.

The CLIA number assigned to this NPI record is 34D2035971 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2011 and was last updated on 10/22/2021.


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-065-036NORTH CAROLINANo
2343900000XNon-emergency Medical Transport (VAN)No
3311ZA0620XCustodial Care FacilityAdult Care HomeYes

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

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