CAROLINA SENIORCARE
NPI 1093075905
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Lexington, NC

Active since May 24, 2012CLIA 34D2039039 · Waiver
802 E CENTER ST, LEXINGTON, NC 27292(336) 746-3500(336) 746-3523 Get Directions Write a Review

NPPES record last updated: May 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carolina Seniorcare NPPES

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

CAROLINA SENIORCARE (NPI 1093075905) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Lexington, North Carolina and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through March 29, 2028 and lists John Brantley Larew, Director Of It, as its authorized official.

NPPES Registry Identity

NPI1093075905
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameCAROLINA SENIORCARE
Location Address802 E CENTER STLexington, NC 27292-4402
Mailing Address802 E Center StLexington, NC 27292-4402 · (336) 746-3500 · Fax (336) 746-3523
Fax(336) 746-3523
Organization SubpartNo
Authorized OfficialJohn Brantley LarewDirector Of It · (828) 465-8016
Enumeration DateMay 24, 2012
NPI 1093075905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251T00000X
Definition

A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

802 E CENTER ST, Lexington, NC 27292

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 34D2039039

Carolina Senior Care · Lexington, NC
Active · expires Mar 29, 2028
CLIA Number34D2039039
Laboratory TypeProgram Of All Inclusive
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorDavid Roddy
Laboratory Phone(336) 474-8799
Laboratory LocationCarolina Senior Care802 E Center St, Lexington, NC 27292
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
802 E CENTER ST
LEXINGTON, NC 27292
Nurse Practitioner (Primary Care)
802 E CENTER ST
LEXINGTON, NC 27292
Physical Therapist
802 E CENTER ST
LEXINGTON, NC 27292

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 Carolina Seniorcare's NPI number?

The NPI number for Carolina Seniorcare is 1093075905. It was assigned to this organization in the NPPES registry on May 24, 2012.

Where is Carolina Seniorcare located?

Carolina Seniorcare is located at 802 E Center St, Lexington, NC 27292. The listed phone number is (336) 746-3500.

What is Carolina Seniorcare's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Does Carolina Seniorcare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2039039) is associated with this NPI, valid through March 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carolina Seniorcare was last updated on May 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.