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LANDMARK ESTATES
NPI 1235238957
Custodial Care Facility - Adult Care Home in Lexington, NC

Active since September 21, 2006CLIA 34D2019590 · Waiver
6781 OLD US HIGHWAY 52, LEXINGTON, NC 27295(336) 752-2751 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Landmark Estates NPPES

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

LANDMARK ESTATES (NPI 1235238957) is a healthcare organization registered as an adult care home in Lexington, North Carolina and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through February 1, 2027 and lists Evleyn Mccubbins, Owner/admin, as its authorized official.

NPPES Registry Identity

NPI1235238957
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameLANDMARK ASSISTED LIVING LLC
Location Address6781 OLD US HIGHWAY 52Lexington, NC 27295-5336
Mailing Address2959 Sowers RdLinwood, NC 27299-9351 · (336) 752-2751 · Fax (336) 752-2410
Phone(336) 752-2751
Organization SubpartNo
Authorized OfficialEvleyn MccubbinsOwner/admin · (336) 752-2751
Enumeration DateSeptember 21, 2006
Last NPPES UpdateOctober 16, 20232 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
✔ NPI 1235238957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
6781 OLD US HIGHWAY 52, Lexington, NC 27295
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Other Names 1

Doing Business AsLandmark Estates

Other Identifiers 1

Medicaid7801233NC

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 34D2019590

Landmark Assisted Living, LLC Dba Grayson Creek Of Welcome · Lexington, NC
Active · expires Feb 1, 2027
CLIA Number34D2019590
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorMelissa F. Mccubbins
Laboratory Phone(336) 752-2751
Laboratory LocationLandmark Assisted Living, LLC Dba Grayson Creek Of Welcome6781 Old Us Highway 52, Lexington, NC 27295
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 Landmark Assisted Living LLC's NPI number?

The NPI number for Landmark Assisted Living LLC is 1235238957. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Landmark Estates.

Where is Landmark Assisted Living LLC located?

Landmark Assisted Living LLC is located at 6781 Old Us Highway 52, Lexington, NC 27295. The listed phone number is (336) 752-2751.

What is Landmark Assisted Living LLC's specialty?

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

Does Landmark Assisted Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2019590) is associated with this NPI, valid through February 1, 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 Landmark Assisted Living LLC was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.