PLANTATION VILLAGE NPI 1629216577

NPI Information

  • NPI: 1629216577
  • Provider Name: PLANTATION VILLAGE
  • Classification: In Home Supportive Care - 253Z00000X
  • Entity Type: Organization
  • CLIA Number: 34D2005913
  • Address: 1200 PORTERS NECK RD
    WILMINGTON, NC
    ZIP 28411
  • Phone: (910) 772-3123

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NPI Details

PLANTATION VILLAGE is an in home supportive care in Wilmington, NC. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. PLANTATION VILLAGE NPI is 1629216577. The provider is registered as an organization entity type.

The provider's business location address is:

1200 PORTERS NECK RD
WILMINGTON, NC
ZIP 28411
Phone: (910) 772-3123

The provider's authorized official is Debra B Gibson .
The authorized official title is Director Of Nursing and has the following contact phone number (910) 772-3123.

The CLIA number assigned to this NPI record is 34D2005913 - other - home care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2009 and was last updated on 1/30/2009.

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
1253Z00000XIn Home Supportive CareHC1830NORTH CAROLINAYes

What is NPI?

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This page was last updated on: 11/21/2025

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