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CEDAR PLACE
NPI 1104294966
Assisted Living Facility in Eden, NC

Active since September 10, 2015CLIA 34D2036319 · Waiver
1103 CENTER CHURCH RD, EDEN, NC 27288(336) 623-8111(336) 427-2929 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cedar Place NPPES

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

CEDAR PLACE (NPI 1104294966) is a healthcare organization registered as an assisted living facility in Eden, North Carolina and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through February 5, 2028 and lists Debra R Rouse, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1104294966
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameROUSES GROUP HOME INC
Location Address1103 CENTER CHURCH RDEden, NC 27288-5523
Mailing AddressPo Box 16Stoneville, NC 27048-0016 · (336) 427-2562 · Fax (336) 427-2978
Phone(336) 623-8111
Fax(336) 427-2929
Organization SubpartNo
Authorized OfficialDebra R RouseChief Executive Officer · (336) 427-0609
Enumeration DateSeptember 10, 2015
✔ NPI 1104294966 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 · 079-053
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.
1103 CENTER CHURCH RD, Eden, NC 27288
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Other Names 1

Other NameCedar Place

Other Identifiers 1

Medicaid340611XNC

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 34D2036319

Rouses Group Home Inc · Stoneville, NC
Active · expires Feb 5, 2028
CLIA Number34D2036319
Laboratory TypeSupervised Living Dd Adlt
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorJane Judson
Laboratory Phone(336) 427-0609
Laboratory LocationRouses Group Home Inc5949 Nc 135, Stoneville, NC 27048
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Rouses Group Home Inc's NPI number?

The NPI number for Rouses Group Home Inc is 1104294966. It was assigned to this organization in the NPPES registry on September 10, 2015. The provider is also known as Cedar Place.

Where is Rouses Group Home Inc located?

Rouses Group Home Inc is located at 1103 Center Church Rd, Eden, NC 27288. The listed phone number is (336) 623-8111.

What is Rouses Group Home Inc's specialty?

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

Does Rouses Group Home Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2036319) is associated with this NPI, valid through February 5, 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 Rouses Group Home Inc was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.