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WILSON ASSISTED LIVING
NPI 1285770933
Assisted Living Facility in Wilson, NC

Active since January 29, 2007CLIA 34D2199954 · Waiver
3501 SENIOR VILLAGE LN NW, WILSON, NC 27896(252) 243-3186(252) 243-3187 Get Directions Write a Review

NPPES record last updated: June 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wilson Assisted Living NPPES

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

WILSON ASSISTED LIVING (NPI 1285770933) is a healthcare organization registered as an assisted living facility in Wilson, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Beth C Burrell, Partner, as its authorized official.

NPPES Registry Identity

NPI1285770933
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWILSON ASSISTED LIVING
Location Address3501 SENIOR VILLAGE LN NWWilson, NC 27896-9618
Mailing AddressPo Box 188Wilson, NC 27894-0188 · (252) 243-3186 · Fax (252) 243-3187
Phone(252) 243-3186
Fax(252) 243-3187
Organization SubpartNo
Authorized OfficialBeth C BurrellPartner · (803) 230-1555
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJune 21, 2008
✔ NPI 1285770933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NC · HAL098024
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.
3501 SENIOR VILLAGE LN NW, Wilson, NC 27896
Open in Google Maps ↗

Other Identifiers 1

Medicaid7805531NC

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 34D2199954

Wilson Assistged Living · Wilson, NC
Active · expires Nov 11, 2026
CLIA Number34D2199954
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorAnthony L. Mckiver
Laboratory Phone(252) 243-3186
Laboratory LocationWilson Assistged Living3501 Senior Village Lane, Wilson, NC 27896
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

BRADLEY SHANE EDWARDS COTA
Occupational Therapy Assistant
3501 SENIOR VILLAGE LN NW
WILSON, NC 27896
Wilson County (252) 243-3186
LEAH YENNEY STEVENSON COTA/L
Occupational Therapist (Gerontology)
3501 SENIOR VILLAGE LN NW
WILSON, NC 27896
Wilson County (252) 567-4424
TRACI MELTON
Physical Therapy Assistant
3501 SENIOR VILLAGE LN NW
WILSON, NC 27896
Wilson County (252) 243-3186
CRAIG MARKOWSKI DPT, MPT
Physical Therapist
3501 SENIOR VILLAGE LN NW
WILSON, NC 27896
Wilson County (252) 243-3186
LEGACY HEALTHCARE SERVICES, INC
Physical Therapist
3501 SENIOR VILLAGE LN NW
WILSON, NC 27896
Wilson County (252) 206-1310
MR. AARON MICHAEL GIGGERS
Physical Therapy Assistant
3501 SENIOR VILLAGE LN NW
WILSON, NC 27896
Wilson County (252) 243-3186
MEREDITH LANE DPT
Physical Therapist
3501 SENIOR VILLAGE LN NW
WILSON, NC 27896
Wilson County (252) 243-3186
KATINA JENKINS PARKS PTA
Physical Therapy Assistant
3501 SENIOR VILLAGE LN NW
WILSON, NC 27896
Wilson County (252) 206-1310

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 Wilson Assisted Living's NPI number?

The NPI number for Wilson Assisted Living is 1285770933. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Wilson Assisted Living located?

Wilson Assisted Living is located at 3501 Senior Village Ln NW, Wilson, NC 27896. The listed phone number is (252) 243-3186.

What is Wilson Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Wilson Assisted Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2199954) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wilson Assisted Living was last updated on June 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.