HENDERSON CARE CENTER INC NPI 1912104423

NPI Information

  • NPI: 1912104423
  • Provider Name: HENDERSON CARE CENTER INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 34D2020158
  • Address: 125 HENDERSON CIR
    FOREST CITY, NC
    ZIP 28043
  • Phone: (828) 248-3800

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NPI Details

HENDERSON CARE CENTER INC is an assisted living facility in Forest City, 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. HENDERSON CARE CENTER INC NPI is 1912104423. The provider is registered as an organization entity type.

The provider's business location address is:

125 HENDERSON CIR
FOREST CITY, NC
ZIP 28043-584
Phone: (828) 248-3800
Fax: (828) 245-3597

The provider's authorized official is Jim Henderson .
The authorized official title is Administrator and has the following contact phone number (828) 248-3800.

The CLIA number assigned to this NPI record is 34D2020158 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2007 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
1310400000XAssisted Living FacilityHAL-081-010NORTH 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
17801774MEDICAIDNORTH 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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