TAYLORSVILLE HOUSE
NPI 1215923347
Custodial Care Facility - Adult Care Home in Taylorsville, NC

Active since September 23, 2005CLIA 34D2019510 · Waiver
350 SCHOOL DR, TAYLORSVILLE, NC 28681(828) 635-8989(828) 635-5554 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Taylorsville House NPPES

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

TAYLORSVILLE HOUSE (NPI 1215923347) is a healthcare organization registered as an adult care home in Taylorsville, North Carolina and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Charles E Trefzger, Manager, as its authorized official.

NPPES Registry Identity

NPI1215923347
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameTAYLORSVILLE HOUSE LLC
Location Address350 SCHOOL DRTaylorsville, NC 28681-2340
Mailing AddressPo Box 2568Hickory, NC 28603-2568 · (828) 270-0651 · Fax (828) 270-0651
Fax(828) 635-5554
Organization SubpartNo
Authorized OfficialCharles E TrefzgerManager · (828) 322-5535
Enumeration DateSeptember 23, 2005
Last NPPES UpdateOctober 11, 20212 updates tracked since enumeration
NPPES CertifiedOctober 11, 2021
NPI 1215923347 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 HAL002003 (NC)
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
350 SCHOOL DR, Taylorsville, NC 28681

Other Names 1

Doing Business AsTaylorsville House

Other Identifiers 1

Medicaid7803940NC

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 34D2019510

Taylorsville House · Taylorsville, NC
Active · expires Jan 31, 2027
CLIA Number34D2019510
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorHeather Lackey
Laboratory Phone(828) 635-8989
Laboratory LocationTaylorsville House350 School Drive, Taylorsville, NC 28681
CLIA data matches this NPI record on: Address 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 Taylorsville House LLC's NPI number?

The NPI number for Taylorsville House LLC is 1215923347. It was assigned to this organization in the NPPES registry on September 23, 2005. The provider is doing business as Taylorsville House.

Where is Taylorsville House LLC located?

Taylorsville House LLC is located at 350 School Dr, Taylorsville, NC 28681. The listed phone number is (828) 635-8989.

What is Taylorsville House LLC's specialty?

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

Does Taylorsville House LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2019510) is associated with this NPI, valid through January 31, 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 Taylorsville House LLC was last updated on October 11, 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.