FOREST PARK HOUSE
NPI 1497786982
Custodial Care Facility - Adult Care Home in Randleman, NC

Active since July 05, 2006CLIA 34D2016267 · Waiver
2910 FOREST PARK DR, RANDLEMAN, NC 27317(336) 495-6782(336) 495-6782 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Forest Park House NPPES

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

FOREST PARK HOUSE (NPI 1497786982) is a healthcare organization registered as an adult care home in Randleman, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Kenneth Alan Burrow, Vice President, as its authorized official.

NPPES Registry Identity

NPI1497786982
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameTHERAPEUTIC ALTERNATIVES INC
Location Address2910 FOREST PARK DRRandleman, NC 27317-7470
Mailing AddressPo Box 814Randleman, NC 27317-0814 · (336) 495-2700 · Fax (336) 495-5552
Fax(336) 495-6782
Organization SubpartNo
Authorized OfficialKenneth Alan BurrowVice President · (336) 495-2700
Enumeration DateJuly 5, 2006
Last NPPES UpdateJune 13, 2013
NPI 1497786982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in NC · MHL 076 011
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
2910 FOREST PARK DR, Randleman, NC 27317

Other Names 1

Other NameForest Park House

Other Identifiers 2

Medicaid7805059NC
Medicaid3408682NC

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 34D2016267

Forest Park · Randleman, NC
Active · expires Nov 15, 2026
CLIA Number34D2016267
Laboratory TypeGroup Home
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorStacy Massey
Laboratory Phone(336) 495-6780
Laboratory LocationForest Park2910 Forest Park Drive, Randleman, NC 27317
CLIA data matches this NPI record on: Address Name
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 Therapeutic Alternatives Inc's NPI number?

The NPI number for Therapeutic Alternatives Inc is 1497786982. It was assigned to this organization in the NPPES registry on July 5, 2006. The provider is also known as Forest Park House.

Where is Therapeutic Alternatives Inc located?

Therapeutic Alternatives Inc is located at 2910 Forest Park Dr, Randleman, NC 27317. The listed phone number is (336) 495-6782.

What is Therapeutic Alternatives Inc's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Therapeutic Alternatives Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2016267) is associated with this NPI, valid through November 15, 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 Therapeutic Alternatives Inc was last updated on June 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.