AUTUMN VILLAGE
NPI 1275975153
Custodial Care Facility - Adult Care Home in Beulaville, NC

Q: What is Wp-Beulaville Health Holdings, LLC's NPI number?

The NPI number for Wp-Beulaville Health Holdings, LLC is 1275975153. It was assigned to this organization in the NPPES registry on July 22, 2013. The provider is doing business as Autumn Village.

Q: What is Wp-Beulaville 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.

Active since July 22, 2013CLIA 34D2064901 · Waiver

235 N NC 41 HWY, BEULAVILLE, NC 28518(910) 298-5877(910) 298-5578 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Autumn Village NPPES

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

AUTUMN VILLAGE (NPI 1275975153) is a healthcare organization registered as an adult care home in Beulaville, North Carolina and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through August 28, 2027 and lists Charles E Trefzger, Manager, as its authorized official.

NPPES Registry Identity

NPI1275975153

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameWP-BEULAVILLE HEALTH HOLDINGS, LLC

Location Address235 N NC 41 HWYBeulaville, NC 28518-8633

Mailing AddressPo Box 2568Hickory, NC 28603-2568 · (828) 322-5535 · Fax (828) 326-8109

Phone(910) 298-5877

Fax(910) 298-5578

Organization SubpartNo

Authorized OfficialCharles E TrefzgerManager · (828) 322-5535

Enumeration DateJuly 22, 2013

Last NPPES UpdateOctober 22, 2021

NPPES CertifiedOctober 22, 2021

✔ NPI 1275975153 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-031-018 (NC)

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X

235 N NC 41 HWY, Beulaville, NC 28518

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Other Names 1

Doing Business AsAutumn Village

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 34D2064901

Autumn Village Assisted Living Affinity Living Group · Beulaville, NC

Active · expires Aug 28, 2027

CLIA Number34D2064901

Laboratory TypeAssisted Living Facility

Certificate Effective DateAugust 29, 2025

Certificate Expiration DateAugust 28, 2027

Laboratory DirectorTamara J. Herring

Laboratory Phone(910) 298-5877

Laboratory LocationAutumn Village Assisted Living Affinity Living Group235 North Nc Highway 41, Beulaville, NC 28518

CLIA data matches this NPI record on: 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.

LAURA CHRISTINE BRYANT MS, OTR/L

Occupational Therapist

235 N NC 41 HWY
BEULAVILLE, NC 28518

Duplin County (910) 298-5877

AUTUMN VILLAGE, INC.

Custodial Care Facility (Adult Care Home)

235 N NC 41 HWY
BEULAVILLE, NC 28518

Duplin County (910) 298-5877

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-Beulaville Health Holdings, LLC's NPI number?

The NPI number for Wp-Beulaville Health Holdings, LLC is 1275975153. It was assigned to this organization in the NPPES registry on July 22, 2013. The provider is doing business as Autumn Village.

Where is Wp-Beulaville Health Holdings, LLC located?

Wp-Beulaville Health Holdings, LLC is located at 235 N Nc 41 Hwy, Beulaville, NC 28518. The listed phone number is (910) 298-5877.

What is Wp-Beulaville 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-Beulaville Health Holdings, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2064901) is associated with this NPI, valid through August 28, 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-Beulaville Health Holdings, LLC was last updated on October 22, 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.