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PARKWOOD VILLAGE, LLC
NPI 1013088392
Assisted Living Facility in Wilson, NC

Active since November 10, 2006CLIA 34D1095429 · Waiver
1730 PARKWOOD BLVD W, WILSON, NC 27893(252) 237-9050(252) 237-9093 Get Directions Write a Review

NPPES record last updated: December 19, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Parkwood Village, Llc NPPES

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

PARKWOOD VILLAGE, LLC (NPI 1013088392) is a healthcare organization registered as an assisted living facility in Wilson, North Carolina and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through February 8, 2027 and lists Sally Miller, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1013088392
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePARKWOOD VILLAGE, LLC
Location Address1730 PARKWOOD BLVD WWilson, NC 27893-3564
Mailing Address1730 Parkwood Blvd WWilson, NC 27893-3564 · (252) 237-9050 · Fax (252) 237-9093
Phone(252) 237-9050
Fax(252) 237-9093
Organization SubpartNo
Authorized OfficialSally MillerExecutive Director · (252) 237-9050
Enumeration DateNovember 10, 2006
Last NPPES UpdateDecember 19, 2007
✔ NPI 1013088392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NC · HAL-098-018
Definition

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.

1730 PARKWOOD BLVD W, Wilson, NC 27893
Open in Google Maps ↗

Other Identifiers 1

Medicaid7805118NC

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 34D1095429

Parkwood Village · Wilson, NC
Active · expires Feb 8, 2027
CLIA Number34D1095429
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorSara Baker
Laboratory Phone(617) 796-8350
Laboratory LocationParkwood Village1730 Parkwood Boulevard, Wilson, NC 27893
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

SNH NC TENANT LLC
Assisted Living Facility
1730 PARKWOOD BLVD W
WILSON, NC 27893
Wilson County (252) 237-9050
FVE SE WILSON LLC
Assisted Living Facility
1730 PARKWOOD BLVD W
WILSON, NC 27893
Wilson County (252) 237-9050

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 Parkwood Village, LLC's NPI number?

The NPI number for Parkwood Village, LLC is 1013088392. It was assigned to this organization in the NPPES registry on November 10, 2006.

Where is Parkwood Village, LLC located?

Parkwood Village, LLC is located at 1730 Parkwood Blvd W, Wilson, NC 27893. The listed phone number is (252) 237-9050.

What is Parkwood Village, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Parkwood Village, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1095429) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Parkwood Village, LLC was last updated on December 19, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.