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CRANBERRY HOUSE
NPI 1417157975
Alzheimer Center (Dementia Center) in Elk Park, NC

Active since July 23, 2007CLIA 34D2019440 · Waiver
6215 US 19E, ELK PARK, NC 28622(828) 733-5558 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cranberry House NPPES

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

CRANBERRY HOUSE (NPI 1417157975) is a healthcare organization registered as an alzheimer center (dementia center) in Elk Park, North Carolina and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists Charles E Trefzger, Mananger, as its authorized official.

NPPES Registry Identity

NPI1417157975
Entity TypeOrganization
Primary Taxonomy311500000X
Legal Business NameCRANBERRY HOUSE, LLC
Location Address6215 US 19EElk Park, NC 28622
Mailing Address1978 8th Ave NwHickory, NC 28601-3312 · (828) 322-5535
Phone(828) 733-5558
Organization SubpartNo
Authorized OfficialCharles E TrefzgerMananger · (828) 322-5535
Enumeration DateJuly 23, 2007
Last NPPES UpdateOctober 15, 2007
✔ NPI 1417157975 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 · HAL-006-004
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.
6215 US 19E, Elk Park, NC 28622
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Other Names 1

Other NameCranberry House

Other Identifiers 1

Medicaid7805864NC

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 34D2019440

Cranberry House · Newland, NC
Active · expires Jan 30, 2027
CLIA Number34D2019440
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorTimothy Jenkins
Laboratory Phone(828) 733-5558
Laboratory LocationCranberry House6215 North Us19e Highway, Newland, NC 28657
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Cranberry House, LLC's NPI number?

The NPI number for Cranberry House, LLC is 1417157975. It was assigned to this organization in the NPPES registry on July 23, 2007. The provider is also known as Cranberry House.

Where is Cranberry House, LLC located?

Cranberry House, LLC is located at 6215 Us 19E, Elk Park, NC 28622. The listed phone number is (828) 733-5558.

What is Cranberry House, LLC's specialty?

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

Does Cranberry House, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2019440) is associated with this NPI, valid through January 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cranberry House, LLC was last updated on October 15, 2007. 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.