Provider Type Icon

EARL ENTERPRISES INC. NPI 1649398777


NPI Information

NPI: 1649398777
Provider Name: EARL ENTERPRISES INC.

Doing Business As: HAYWOOD LODGE & RETIREMENT CENTER

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

Specialization: Adult Care Home

CLIA Number: 34D2024885

Address:
251 SHELTON ST
WAYNESVILLE, NC
ZIP 28786
Phone: (828) 456-8365
Get Directions

EARL ENTERPRISES INC. is an adult care home custodial care facility in Waynesville, 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. EARL ENTERPRISES INC. NPI is 1649398777. The provider is registered as an organization entity type.
The provider Is Doing Business As Haywood Lodge & Retirement Center.

The provider's business location address is:

251 SHELTON ST
WAYNESVILLE, NC
ZIP 28786-362
Phone: (828) 456-8365
Fax: (828) 456-6792

The provider's authorized official is Aaron Douglas Crawford .
The authorized official title is Owner and has the following contact phone number (828) 456-8365.

The CLIA number assigned to this NPI record is 34D2024885 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 8/22/2020.


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
1311ZA0620XCustodial Care FacilityAdult Care HomeHAL-044-009NORTH 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
17801888MEDICAIDNORTH 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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.