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PRESTON HOUSE I, LLC
NPI 1366595647
Alzheimer Center (Dementia Center) in Charlotte, NC

Active since January 19, 2007CLIA 34D2149665 · Waiver
4910 HARRIS WOODS BLVD, CHARLOTTE, NC 28269(704) 921-9279(704) 896-1978 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Preston House I, Llc NPPES

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

PRESTON HOUSE I, LLC (NPI 1366595647) is a healthcare organization registered as an alzheimer center (dementia center) in Charlotte, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through June 7, 2028 and lists Norman J. Gordon, Administrator, as its authorized official.

NPPES Registry Identity

NPI1366595647
Entity TypeOrganization
Primary Taxonomy311500000X
Legal Business NamePRESTON HOUSE I, LLC
Location Address4910 HARRIS WOODS BLVDCharlotte, NC 28269-0486
Mailing AddressPo Box 837Davidson, NC 28036-0837 · (704) 895-3645 · Fax (704) 896-1978
Phone(704) 921-9279
Fax(704) 896-1978
Organization SubpartNo
Authorized OfficialNorman J. GordonAdministrator · (704) 895-3645
Enumeration DateJanuary 19, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1366595647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
Taxonomy Code311500000X
License✔ Licensed in NC · HAL060031
Definition
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.
4910 HARRIS WOODS BLVD, Charlotte, NC 28269
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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 34D2149665

Preston House · Charlotte, NC
Active · expires Jun 7, 2028
CLIA Number34D2149665
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorApril R. Goodman
Laboratory Phone(704) 921-9279
Laboratory LocationPreston House4910 Harris Woods Boulevard, Charlotte, NC 28269
CLIA data matches this NPI record on: Address 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.

PRESTON OPERATIONS, LLC
Custodial Care Facility (Adult Care Home)
4910 HARRIS WOODS BLVD
CHARLOTTE, NC 28269
Mecklenburg County (336) 993-7555
RSS/CHARLOTTE OPERATIONS, LLC
Custodial Care Facility (Adult Care Home)
4910 HARRIS WOODS BLVD
CHARLOTTE, NC 28269
Mecklenburg County (704) 741-5785

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 Preston House I, LLC's NPI number?

The NPI number for Preston House I, LLC is 1366595647. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is Preston House I, LLC located?

Preston House I, LLC is located at 4910 Harris Woods Blvd, Charlotte, NC 28269. The listed phone number is (704) 921-9279.

What is Preston House I, LLC's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Does Preston House I, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2149665) 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 Preston House I, LLC 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.