LUTHERAN HOME ALBEMARLE NPI 1013104603

NPI Information

  • NPI: 1013104603
  • Provider Name: LUTHERAN HOME ALBEMARLE
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: TRINITY PLACE
  • CLIA Number: 34D0242698
  • Address: 24724 S BUSINESS 52
    ALBEMARLE, NC
    ZIP 28001
  • Phone: (704) 982-8191

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NPI Details

LUTHERAN HOME ALBEMARLE is an assisted living facility in Albemarle, 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. LUTHERAN HOME ALBEMARLE NPI is 1013104603. The provider is registered as an organization entity type.
The provider Is Doing Business As Trinity Place.

The provider's business location address is:

24724 S BUSINESS 52
ALBEMARLE, NC
ZIP 28001-179
Phone: (704) 982-8191
Fax: (704) 983-1118

The provider's authorized official is Eric T Gabriel .
The authorized official title is Administrator and has the following contact phone number (704) 982-8191.

The CLIA number assigned to this NPI record is 34D0242698 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2007 and was last updated on 12/19/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityNH0140NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17801019MEDICAIDNORTH 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: 11/21/2025

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