WALNUT RIDGE ASSISTD LIVING
NPI 1326179359
Assisted Living Facility in Walnut Cove, NC
About Walnut Ridge Assistd Living NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALNUT RIDGE ASSISTD LIVING (NPI 1326179359) is a healthcare organization registered as an assisted living facility in Walnut Cove, North Carolina and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through June 7, 2028 and lists Karen Hicks, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 34D2149663
Walnut Ridge Assisted Living · Walnut Cove, NCOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WALNUT COVE, NC 27052
WALNUT COVE, NC 27052
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 Walnut Ridge Assistd Living's NPI number?
The NPI number for Walnut Ridge Assistd Living is 1326179359. It was assigned to this organization in the NPPES registry on March 9, 2007.
Where is Walnut Ridge Assistd Living located?
Walnut Ridge Assistd Living is located at 411 Windmill St, Walnut Cove, NC 27052. The listed phone number is (336) 591-7790.
What is Walnut Ridge Assistd Living's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Walnut Ridge Assistd Living hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2149663) is associated with this NPI, valid through June 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Walnut Ridge Assistd Living was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Walnut Ridge Assistd Living · NPI 1326179359
Assisted Living Facility organization in Walnut Cove, North Carolina. Organization record, active in the CMS NPPES registry since March 9, 2007.
## Identity
- **NPI:** 1326179359 (Entity type: Organization)
- **Enumerated:** March 9, 2007
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Karen Hicks, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 411 WINDMILL ST, Walnut Cove, NC 27052-7705
- **Phone:** (336) 591-7790
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 7803627 (NC)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1326179359) · Data from the CMS NPPES public registry.