1. Home
  2. Directory
  3. North Carolina
  4. Williamston
  5. Custodial Care Facility
  6. NPI Profile

WILLIAMSTON HOUSE
NPI 1194061820
Custodial Care Facility - Adult Care Home in Williamston, NC

Active since December 28, 2012CLIA 34D2019504 · Waiver
160 SANTREE DR, WILLIAMSTON, NC 27892(252) 792-6969(252) 792-6785 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Williamston House NPPES

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

WILLIAMSTON HOUSE (NPI 1194061820) is a healthcare organization registered as an adult care home in Williamston, North Carolina and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through October 23, 2027 and lists Charles E Trefzger, Manager, as its authorized official.

NPPES Registry Identity

NPI1194061820
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameWP-WILLIAMSTON HEALTH HOLDINGS, LLC
Location Address160 SANTREE DRWilliamston, NC 27892-1466
Mailing AddressPo Box 2568Hickory, NC 28603-2568 · (828) 322-5535 · Fax (828) 326-8115
Phone(252) 792-6969
Fax(252) 792-6785
Organization SubpartNo
Authorized OfficialCharles E TrefzgerManager · (828) 322-5535
Enumeration DateDecember 28, 2012
Last NPPES UpdateOctober 26, 2021
NPPES CertifiedOctober 26, 2021
✔ NPI 1194061820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Also ListedAssisted Living FacilityTaxonomy 310400000X · License HAL-058-011 (NC)
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
160 SANTREE DR, Williamston, NC 27892
Open in Google Maps ↗

Other Names 1

Doing Business AsWilliamston House

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 34D2019504

Williamston House · Williamston, NC
Active · expires Oct 23, 2027
CLIA Number34D2019504
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorJames Janice
Laboratory Phone(252) 792-6969
Laboratory LocationWilliamston House160 Santree Drive, Williamston, NC 27892
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

WILLIAMSTON HOUSE
Assisted Living Facility
160 SANTREE DR
WILLIAMSTON, NC 27892
Martin County (252) 792-6969
WILLIAMSTON OPERATING AL, LLC
Assisted Living Facility
160 SANTREE DR
WILLIAMSTON, NC 27892
Martin County (252) 792-6969

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 Wp-Williamston Health Holdings, LLC's NPI number?

The NPI number for Wp-Williamston Health Holdings, LLC is 1194061820. It was assigned to this organization in the NPPES registry on December 28, 2012. The provider is doing business as Williamston House.

Where is Wp-Williamston Health Holdings, LLC located?

Wp-Williamston Health Holdings, LLC is located at 160 Santree Dr, Williamston, NC 27892. The listed phone number is (252) 792-6969.

What is Wp-Williamston Health Holdings, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Wp-Williamston Health Holdings, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2019504) is associated with this NPI, valid through October 23, 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 Wp-Williamston Health Holdings, LLC was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.