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ROSE GLEN MANOR
NPI 1033568258
Custodial Care Facility - Adult Care Home in North Wilkesboro, NC

Active since June 08, 2016CLIA 34D2130092 · Waiver
240 INDEPENDENCE AVE, NORTH WILKESBORO, NC 28659(828) 244-5266 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 9, 2021, Jun 14, 2016 (2 updates tracked since 2016).

About Rose Glen Manor NPPES

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

ROSE GLEN MANOR (NPI 1033568258) is a healthcare organization registered as an adult care home in North Wilkesboro, North Carolina and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through May 1, 2027 and lists Charles E Trefzger, Manager, as its authorized official.

NPPES Registry Identity

NPI1033568258
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameRGM AL HOLDINGS, LLC
Location Address240 INDEPENDENCE AVENorth Wilkesboro, NC 28659
Mailing Address328 1st Ave NwHickory, NC 28601-6123 · (828) 322-5535 · Fax (828) 326-8115
Phone(828) 244-5266
Organization SubpartNo
Authorized OfficialCharles E TrefzgerManager · (828) 322-5535
Enumeration DateJune 8, 2016
Last NPPES UpdateNovember 9, 20212 updates tracked since enumeration
NPPES CertifiedNovember 9, 2021
✔ NPI 1033568258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
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.
Also ListedAssisted Living FacilityTaxonomy 310400000X · License HAL097015 (NC)
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
240 INDEPENDENCE AVE, North Wilkesboro, NC 28659
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Other Names 1

Doing Business AsRose Glen Manor

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 34D2130092

Rose Glen Manor · North Wilkesboro, NC
Active · expires May 1, 2027
CLIA Number34D2130092
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 2, 2025
Certificate Expiration DateMay 1, 2027
Laboratory DirectorPenny Waters
Laboratory Phone(336) 818-3411
Laboratory LocationRose Glen Manor240 Independence Avenue, North Wilkesboro, NC 28659
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

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

PARAGON OUTPATIENT REHABILITATION SERVICES, LLC
Clinic/Center (Rehabilitation)
240 INDEPENDENCE AVE
NORTH WILKESBORO, NC 28659
Wilkes County (828) 449-8528

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 Rgm Al Holdings, LLC's NPI number?

The NPI number for Rgm Al Holdings, LLC is 1033568258. It was assigned to this organization in the NPPES registry on June 8, 2016. The provider is doing business as Rose Glen Manor.

Where is Rgm Al Holdings, LLC located?

Rgm Al Holdings, LLC is located at 240 Independence Ave, North Wilkesboro, NC 28659. The listed phone number is (828) 244-5266.

What is Rgm Al Holdings, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Rgm Al Holdings, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2130092) is associated with this NPI, valid through May 1, 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 Rgm Al Holdings, LLC was last updated on November 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.