LEAKSVILLE REST HOME, LLC
NPI 1285054593
Custodial Care Facility - Adult Care Home in Eden, NC

Q: What is Leaksville Rest Home, LLC's NPI number?

The NPI number for Leaksville Rest Home, LLC is 1285054593. It was assigned to this organization in the NPPES registry on April 25, 2014.

Q: What is Leaksville Rest Home, 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 April 25, 2014

915 IRVING AVE, EDEN, NC 27288(336) 280-5637(336) 635-9004 Get Directions Write a Review

NPPES record last updated: April 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Leaksville Rest Home, Llc NPPES

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

LEAKSVILLE REST HOME, LLC (NPI 1285054593) is a healthcare organization registered as an adult care home in Eden, North Carolina and active in the NPI registry since April 2014. The organization lists Pamela Arthur Clark, Sole Member Manager/administrator, as its authorized official.

NPPES Registry Identity

NPI1285054593

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameLEAKSVILLE REST HOME, LLC

Location Address915 IRVING AVEEden, NC 27288-5509

Mailing Address915 Irving AveEden, NC 27288-5509 · (336) 280-5637 · Fax (336) 635-9004

Phone(336) 280-5637

Fax(336) 635-9004

Organization SubpartNo

Authorized OfficialPamela Arthur ClarkSole Member Manager/administrator · (336) 280-5637

Enumeration DateApril 25, 2014

✔ NPI 1285054593 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

License✔ Licensed in NC · FCL-079-096

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.

915 IRVING AVE, Eden, NC 27288

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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.

HARRISONS CARING HANDS 3 LLC

Custodial Care Facility (Adult Care Home)

915 IRVING AVE
EDEN, NC 27288

Rockingham County (336) 280-1358

EULA K ARTHUR

Assisted Living Facility

915 IRVING AVE
EDEN, NC 27288

Rockingham County (336) 623-2200

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 Leaksville Rest Home, LLC's NPI number?

The NPI number for Leaksville Rest Home, LLC is 1285054593. It was assigned to this organization in the NPPES registry on April 25, 2014.

Where is Leaksville Rest Home, LLC located?

Leaksville Rest Home, LLC is located at 915 Irving Ave, Eden, NC 27288. The listed phone number is (336) 280-5637.

What is Leaksville Rest Home, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Leaksville Rest Home, LLC was last updated on April 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.