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WP-JACKSONVILLE HEALTH HOLDINGS LLC NPI 1629401203


NPI Information

NPI: 1629401203
Provider Name: WP-JACKSONVILLE HEALTH HOLDINGS, LLC

Doing Business As: ONSLOW HOUSE

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

Specialization: Adult Care Home

CLIA Number: 34D2066986

Address:
34 MCDANIEL DR
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 347-1300
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WP-JACKSONVILLE HEALTH HOLDINGS, LLC is an adult care home custodial care facility in Jacksonville, 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. WP-JACKSONVILLE HEALTH HOLDINGS, LLC NPI is 1629401203. The provider is registered as an organization entity type.
The provider Is Doing Business As Onslow House.

The provider's business location address is:

34 MCDANIEL DR
JACKSONVILLE, NC
ZIP 28546-942
Phone: (910) 347-1300
Fax: (910) 347-1349

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 34D2066986 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2013 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1343900000XNon-emergency Medical Transport (VAN)No
2310400000XAssisted Living FacilityHAL-067-023NORTH CAROLINANo
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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