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RIVERS EDGE OF LUMBERTON LLC
NPI 1124628219
Assisted Living Facility in Lumberton, NC

Active since October 28, 2020CLIA 34D2022188 · Waiver
550 BAILEY RD, LUMBERTON, NC 28358(843) 754-5147 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rivers Edge Of Lumberton Llc NPPES

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

RIVERS EDGE OF LUMBERTON LLC (NPI 1124628219), doing business as Rivers Edge Of Lumberton, is a healthcare organization registered as an assisted living facility in Lumberton, North Carolina and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists Davance Locklear, Owner, as its authorized official.

NPPES Registry Identity

NPI1124628219
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameRIVERS EDGE OF LUMBERTON LLC
Location Address550 BAILEY RDLumberton, NC 28358-2424
Mailing Address2603 Cherry Plum DrFayetteville, NC 28306-7443 · (843) 754-5147
Phone(843) 754-5147
Organization SubpartNo
Authorized OfficialDavance LocklearOwner · (843) 754-5147
Enumeration DateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1124628219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
550 BAILEY RD, Lumberton, NC 28358
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Other Names 1

Doing Business AsRivers Edge Of Lumberton

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 34D2022188

Rivers Edge Of Lumberton, LLC Dba Rivers Edge Of Lumberton · Lumberton, NC
Active · expires Mar 28, 2027
CLIA Number34D2022188
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorMandy L. Salvail
Laboratory Phone(910) 494-1390
Laboratory LocationRivers Edge Of Lumberton, LLC Dba Rivers Edge Of Lumberton550 Bailey Rd, Lumberton, NC 28358
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 3

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

LUMBERTON RETIREMENT COMMUNITY, LLC
Assisted Living Facility
550 BAILEY RD
LUMBERTON, NC 28358
Robeson County (910) 738-7281
LUMBERTON HEALTH CARE, INC.
Custodial Care Facility (Adult Care Home)
550 BAILEY RD
LUMBERTON, NC 28358
Robeson County (910) 738-7281
ABIGAIL VEEDER OTD, OTR/L
Occupational Therapist
550 BAILEY RD
LUMBERTON, NC 28358
Robeson County (910) 738-7281

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 Rivers Edge Of Lumberton LLC's NPI number?

The NPI number for Rivers Edge Of Lumberton LLC is 1124628219. It was assigned to this organization in the NPPES registry on October 28, 2020. The provider is doing business as Rivers Edge Of Lumberton.

Where is Rivers Edge Of Lumberton LLC located?

Rivers Edge Of Lumberton LLC is located at 550 Bailey Rd, Lumberton, NC 28358. The listed phone number is (843) 754-5147.

What is Rivers Edge Of Lumberton LLC's specialty?

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

Does Rivers Edge Of Lumberton LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2022188) is associated with this NPI, valid through March 28, 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 Rivers Edge Of Lumberton LLC was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.