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FUQUAY-VARINA HEALTH HOLDINGS LLC NPI 1124335211


NPI Information

NPI: 1124335211
Provider Name: FUQUAY-VARINA HEALTH HOLDINGS, LLC

Doing Business As: SENTER'S REST HOME

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 34D2019495

Address:
40 RAWLS CLUB RD
FUQUAY VARINA, NC
ZIP 27526
Phone: (919) 552-6264
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FUQUAY-VARINA HEALTH HOLDINGS, LLC is an adult care home custodial care facility in Fuquay Varina, 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. FUQUAY-VARINA HEALTH HOLDINGS, LLC NPI is 1124335211. The provider is registered as an organization entity type.
The provider Is Doing Business As Senter's Rest Home.

The provider's business location address is:

40 RAWLS CLUB RD
FUQUAY VARINA, NC
ZIP 27526-031
Phone: (919) 552-6264
Fax: (919) 552-7882

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 34D2019495 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/10/2010 and was last updated on 11/1/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityHAL-043-024NORTH 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: 5/5/2024

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