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PINE TREE VILLA
NPI 1205902079
Assisted Living Facility in Raleigh, NC

Active since November 25, 2006
4510 DURALEIGH RD, RALEIGH, NC 27612(919) 791-1981(919) 791-1986 Get Directions Write a Review

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

About Pine Tree Villa NPPES

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

PINE TREE VILLA (NPI 1205902079) is a healthcare organization registered as an assisted living facility in Raleigh, North Carolina and active in the NPI registry since November 2006. The organization lists Charlie E Trefzger, Manager, as its authorized official.

NPPES Registry Identity

NPI1205902079
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOVINGTON HOUSE OF RALEIGH,LLC
Location Address4510 DURALEIGH RDRaleigh, NC 27612-3534
Mailing Address1978 8th Ave NwHickory, NC 28601-3312 · (828) 324-8898 · Fax (828) 322-9587
Phone(919) 791-1981
Fax(919) 791-1986
Organization SubpartNo
Authorized OfficialCharlie E TrefzgerManager · (828) 324-8898
Enumeration DateNovember 25, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205902079 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-092-121
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.
4510 DURALEIGH RD, Raleigh, NC 27612
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Other Names 1

Doing Business AsPine Tree Villa

Other Identifiers 1

Medicaid7805597NC

Other Providers at the Same Location NPPES 4

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

WP-RALEIGH HEALTH HOLDINGS, LLC
Custodial Care Facility (Adult Care Home)
4510 DURALEIGH RD
RALEIGH, NC 27612
Wake County (919) 791-1981
KARA EVANS
Physical Therapist
4510 DURALEIGH RD
RALEIGH, NC 27612
Wake County (301) 788-0090
MRS. ELIZABETH PAYTON BOLYARD PTA
Physical Therapy Assistant
4510 DURALEIGH RD
RALEIGH, NC 27612
Wake County (919) 881-4382
RALEIGH OPERATING AL, LLC
Assisted Living Facility
4510 DURALEIGH RD
RALEIGH, NC 27612
Wake County (919) 791-1981

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 Covington House Of Raleigh,llc's NPI number?

The NPI number for Covington House Of Raleigh,llc is 1205902079. It was assigned to this organization in the NPPES registry on November 25, 2006. The provider is doing business as Pine Tree Villa.

Where is Covington House Of Raleigh,llc located?

Covington House Of Raleigh,llc is located at 4510 Duraleigh Rd, Raleigh, NC 27612. The listed phone number is (919) 791-1981.

What is Covington House Of Raleigh,llc's specialty?

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

When was this NPI record last updated?

The NPPES record for Covington House Of Raleigh,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.