1. Home
  2. Directory
  3. North Carolina
  4. Lenoir
  5. Assisted Living Facility
  6. NPI Profile

GRANDVIEW VILLA ASSISTED LIVING LLC
NPI 1174673933
Assisted Living Facility in Lenoir, NC

Active since January 11, 2007CLIA 34D2020087 · Waiver
2544 GRANDVIEW CIR SW, LENOIR, NC 28645(828) 757-0136(828) 757-0213 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grandview Villa Assisted Living Llc NPPES

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

GRANDVIEW VILLA ASSISTED LIVING LLC (NPI 1174673933) is a healthcare organization registered as an assisted living facility in Lenoir, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through February 10, 2027 and lists Lillie Jeanette Hartley, Member-manager, as its authorized official.

NPPES Registry Identity

NPI1174673933
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGRANDVIEW VILLA ASSISTED LIVING LLC
Location Address2544 GRANDVIEW CIR SWLenoir, NC 28645-9638
Mailing Address2544 Grandview Cir SwLenoir, NC 28645-9638 · (828) 757-0136 · Fax (828) 757-0213
Phone(828) 757-0136
Fax(828) 757-0213
Organization SubpartNo
Authorized OfficialLillie Jeanette HartleyMember-manager · (828) 757-0136
Enumeration DateJanuary 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174673933 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-014-015
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.
2544 GRANDVIEW CIR SW, Lenoir, NC 28645
Open in Google Maps ↗

Other Identifiers 1

Medicaid7805628NC

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 34D2020087

Grandview Villa Assisted Living · Lenoir, NC
Active · expires Feb 10, 2027
CLIA Number34D2020087
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 11, 2025
Certificate Expiration DateFebruary 10, 2027
Laboratory DirectorClara South
Laboratory Phone(828) 757-0136
Laboratory LocationGrandview Villa Assisted Living2544 Grandview Circle SW, Lenoir, NC 28645
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 Grandview Villa Assisted Living LLC's NPI number?

The NPI number for Grandview Villa Assisted Living LLC is 1174673933. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Grandview Villa Assisted Living LLC located?

Grandview Villa Assisted Living LLC is located at 2544 Grandview Cir SW, Lenoir, NC 28645. The listed phone number is (828) 757-0136.

What is Grandview Villa Assisted Living LLC's specialty?

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

Does Grandview Villa Assisted Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2020087) is associated with this NPI, valid through February 10, 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 Grandview Villa Assisted Living LLC was last updated on August 22, 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.