PERRY CREEK HEALTH AND REHABILITATION CENTER
NPI 1003667262
Skilled Nursing Facility in Raleigh, NC

Active since March 27, 2024CLIA 34D1008038 · Waiver
5201 CLARKS FORK DR, RALEIGH, NC 27616(919) 872-7033 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Perry Creek Health And Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERRY CREEK HEALTH AND REHABILITATION CENTER (NPI 1003667262) is a healthcare organization registered as a skilled nursing facility in Raleigh, North Carolina and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through January 8, 2027 and lists Craig Neiswanger, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1003667262
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameNORTH RALEIGH OPERATOR LLC
Location Address5201 CLARKS FORK DRRaleigh, NC 27616-5868
Mailing Address5201 Clarks Fork DrRaleigh, NC 27616-5868 · (919) 872-7033
Organization SubpartNo
Authorized OfficialCraig NeiswangerAuthorized Agent · (919) 872-7033
Enumeration DateMarch 27, 2024
Last NPPES UpdateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
NPI 1003667262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
5201 CLARKS FORK DR, Raleigh, NC 27616

Other Names 1

Doing Business AsPerry Creek Health And Rehabilitation Center

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D1008038

Perry Creek Health & Rehabilitation Center · Raleigh, NC
Active · expires Jan 8, 2027
CLIA Number34D1008038
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorMoses K. Muhairwe
Laboratory Phone(919) 872-7033
Laboratory LocationPerry Creek Health & Rehabilitation Center5201 Clarks Fork Dr NW, Raleigh, NC 27616
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
5201 CLARKS FORK DR
RALEIGH, NC 27616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Raleigh Operator LLC's NPI number?

The NPI number for North Raleigh Operator LLC is 1003667262. It was assigned to this organization in the NPPES registry on March 27, 2024. The provider is doing business as Perry Creek Health And Rehabilitation Center.

Where is North Raleigh Operator LLC located?

North Raleigh Operator LLC is located at 5201 Clarks Fork Dr, Raleigh, NC 27616. The listed phone number is (919) 872-7033.

What is North Raleigh Operator LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does North Raleigh Operator LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1008038) is associated with this NPI, valid through January 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Raleigh Operator LLC accept?

Health plans from UnitedHealthcare list North Raleigh Operator LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Raleigh Operator LLC was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.