1. Home
  2. Directory
  3. North Carolina
  4. Wilmington
  5. Assisted Living Facility
  6. NPI Profile

PORT SOUTH VILLAGE
NPI 1285753269
Assisted Living Facility in Wilmington, NC

Active since March 28, 2007
210 COVIL AVE, WILMINGTON, NC 28403(910) 814-1223(910) 814-1223 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Port South Village NPPES

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

PORT SOUTH VILLAGE (NPI 1285753269) is a healthcare organization registered as an assisted living facility in Wilmington, North Carolina and active in the NPI registry since March 2007. The organization lists Buddy Lockamy, Administrator, as its authorized official.

NPPES Registry Identity

NPI1285753269
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePORT SOUTH VILLAGE
Location Address210 COVIL AVEWilmington, NC 28403-0711
Mailing AddressPo Box 4669Wilmington, NC 28406-1669 · (910) 814-1223 · Fax (910) 814-1223
Phone(910) 814-1223
Fax(910) 814-1223
Organization SubpartNo
Authorized OfficialBuddy LockamyAdministrator · (910) 814-1223
Enumeration DateMarch 28, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1285753269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Licenses✔ Licensed in NC · HAL-065-008✔ Licensed in NC · HAL- 065-606✔ Licensed in NC · HAL-065-005✔ Licensed in NC · HAL-065-009✔ Licensed in NC · HAL-065-010✔ Licensed in NC · HAL-065-007
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.

210 COVIL AVE, Wilmington, NC 28403
Open in Google Maps ↗

Other Names 1

Doing Business AsPort South Village

Other Identifiers 6

Medicaid7801041NC
Medicaid7801395NC
Medicaid7801156NC
Medicaid7801042NC
Medicaid7801157NC
Medicaid7801043NC

Other Providers at the Same Location NPPES 6

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

SENIOR MANAGEMENT INC
Assisted Living Facility
210 COVIL AVE
WILMINGTON, NC 28403
New Hanover County (910) 762-4550
SENIOR MANAGEMENT INC
Assisted Living Facility
210 COVIL AVE
WILMINGTON, NC 28403
New Hanover County (910) 762-4550
SENIOR MANAGEMENT INC
Assisted Living Facility
210 COVIL AVE
WILMINGTON, NC 28403
New Hanover County (910) 762-4550
SENIOR MANAGEMENT INC
Assisted Living Facility
210 COVIL AVE
WILMINGTON, NC 28403
New Hanover County (910) 762-4550
SENIOR MANAGEMENT INC
Assisted Living Facility
210 COVIL AVE
WILMINGTON, NC 28403
New Hanover County (910) 762-4550
SENIOR MANAGEMENT INC
Assisted Living Facility
210 COVIL AVE
WILMINGTON, NC 28403
New Hanover County (910) 814-1223

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 Port South Village's NPI number?

The NPI number for Port South Village is 1285753269. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Port South Village located?

Port South Village is located at 210 Covil Ave, Wilmington, NC 28403. The listed phone number is (910) 814-1223.

What is Port South Village'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 Port South Village was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.