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BERMUDA VILLAGE
NPI 1174687586
Nursing Facility/Intermediate Care Facility in Advance, NC

Active since December 20, 2006CLIA 34D0911662 · Waiver
142 BERMUDA VILLAGE DR, ADVANCE, NC 27006(336) 998-6754(336) 998-6771 Get Directions Write a Review

NPPES record last updated: October 2, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bermuda Village NPPES

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

BERMUDA VILLAGE (NPI 1174687586) is a healthcare organization registered as a nursing facility/intermediate care facility in Advance, North Carolina and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through February 11, 2028 and lists Jan Whittle, Vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1174687586
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameBERMUDA VILLAGE RETIREMENT CENTER LIMITED PARTNERSHIP
Location Address142 BERMUDA VILLAGE DRAdvance, NC 27006-7867
Mailing Address142 Bermuda Village DrAdvance, NC 27006-7867 · (336) 998-6754 · Fax (336) 998-6771
Phone(336) 998-6754
Fax(336) 998-6771
Organization SubpartNo
Authorized OfficialJan WhittleVice President Of Finance · (336) 714-3340
Enumeration DateDecember 20, 2006
Last NPPES UpdateOctober 2, 2009
✔ NPI 1174687586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in NC · NH0519
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
142 BERMUDA VILLAGE DR, Advance, NC 27006
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Other Names 1

Doing Business AsBermuda Village

Other Identifiers 1

Medicare OSCAR/certification345416NC

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 34D0911662

Bermuda Village Health Care Center · Advance, NC
Active · expires Feb 11, 2028
CLIA Number34D0911662
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorDon G. Angell
Laboratory Phone(336) 998-6777
Laboratory LocationBermuda Village Health Care Center142 Bermuda Village Drive, Advance, NC 27006
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 20

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

DEBORAH BOWERS OLIVER
Occupational Therapy Assistant
142 BERMUDA VILLAGE DR
ADVANCE, NC 27006
Davie County (336) 940-6433
DANIEL HARRIS DPT
Physical Therapist
142 BERMUDA VILLAGE DR
BERMUDA RUN, NC 27006
Davie County (336) 940-3557
MS. APRIL CHRISTINE MARKHAM PTA
Physical Therapy Assistant
142 BERMUDA VILLAGE DR
ADVANCE, NC 27006
Davie County (336) 940-6433
MRS. JAYME NANCE EARLE M.S., CCC-SLP
Speech-Language Pathologist
142 BERMUDA VILLAGE DR
ADVANCE, NC 27006
Davie County (336) 940-6433
JONAH LYTCH COTA
Occupational Therapy Assistant
142 BERMUDA VILLAGE DR
ADVANCE, NC 27006
Davie County (336) 998-6763
LINDA KIRK MANTHEY PT
Physical Therapist
142 BERMUDA VILLAGE DR
ADVANCE, NC 27006
Davie County (336) 940-6433
MRS. GINA G. REECE P.T.
Physical Therapist
142 BERMUDA VILLAGE DR
ADVANCE, NC 27006
Davie County (336) 998-6112
MRS. ELLEN BRADFORD JAMES COTA/L
Occupational Therapist
142 BERMUDA VILLAGE DR
ADVANCE, NC 27006
Davie County (336) 998-6702

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 Bermuda Village Retirement Center Limited Partnership's NPI number?

The NPI number for Bermuda Village Retirement Center Limited Partnership is 1174687586. It was assigned to this organization in the NPPES registry on December 20, 2006. The provider is doing business as Bermuda Village.

Where is Bermuda Village Retirement Center Limited Partnership located?

Bermuda Village Retirement Center Limited Partnership is located at 142 Bermuda Village Dr, Advance, NC 27006. The listed phone number is (336) 998-6754.

What is Bermuda Village Retirement Center Limited Partnership's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Bermuda Village Retirement Center Limited Partnership hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0911662) is associated with this NPI, valid through February 11, 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 Bermuda Village Retirement Center Limited Partnership was last updated on October 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.