PROVIDENCE ASSISTED LIVING
NPI 1497260608
Assisted Living Facility in Smithfield, NC
About Providence Assisted Living NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE ASSISTED LIVING (NPI 1497260608) is a healthcare organization registered as an assisted living facility in Smithfield, North Carolina and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through January 7, 2028 and lists Termaine Moore, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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 34D2142261
Providence Assisted Living · Smithfield, NCFrequently 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 Providence Healthcare Of The Carolinas's NPI number?
The NPI number for Providence Healthcare Of The Carolinas is 1497260608. It was assigned to this organization in the NPPES registry on December 11, 2017. The provider is doing business as Providence Assisted Living.
Where is Providence Healthcare Of The Carolinas located?
Providence Healthcare Of The Carolinas is located at 4302 Hwy Nc 210, Smithfield, NC 27577.
What is Providence Healthcare Of The Carolinas's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Providence Healthcare Of The Carolinas hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2142261) is associated with this NPI, valid through January 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 Providence Healthcare Of The Carolinas was last updated on December 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Providence Assisted Living · NPI 1497260608
Assisted Living Facility organization in Smithfield, North Carolina. Organization record, active in the CMS NPPES registry since December 11, 2017.
## Identity
- **NPI:** 1497260608 (Entity type: Organization)
- **Enumerated:** December 11, 2017
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Providence Healthcare Of The Carolinas
- **Organization subpart:** No
- **Authorized official:** Termaine Moore, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 4302 HWY NC 210, Smithfield, NC 27577
## Record status
- **NPPES last updated:** December 11, 2017
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497260608) · Data from the CMS NPPES public registry.