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LAKE PARK NURSING & REHAB CENTER
NPI 1497942825
Nursing Facility/Intermediate Care Facility in Indian Trail, NC

Active since October 01, 2007CLIA 34D0981208 · Waiver
3315 FAITH CHURCH RD, INDIAN TRAIL, NC 28079(704) 882-3420(704) 882-5197 Get Directions Write a Review

NPPES record last updated: October 1, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Park Nursing & Rehab Center NPPES

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

LAKE PARK NURSING & REHAB CENTER (NPI 1497942825) is a healthcare organization registered as a nursing facility/intermediate care facility in Indian Trail, North Carolina and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists Norwood Randolph Uzzell, President, as its authorized official.

NPPES Registry Identity

NPI1497942825
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameBRITTHAVEN, INC.
Location Address3315 FAITH CHURCH RDIndian Trail, NC 28079-9300
Mailing AddressPo Box 2518Indian Trail, NC 28079-2518 · (704) 882-3420 · Fax (704) 882-5197
Phone(704) 882-3420
Fax(704) 882-5197
Organization SubpartNo
Authorized OfficialNorwood Randolph UzzellPresident · (252) 523-9094
Enumeration DateOctober 1, 2007
✔ NPI 1497942825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in NC · NH0592
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
3315 FAITH CHURCH RD, Indian Trail, NC 28079
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Other Names 1

Doing Business AsLake Park Nursing & Rehab Center

Other Identifiers 1

Medicaid340613BNC

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 34D0981208

Everest Long Term Care, LLC Dba Lake Park Nursing And Rehab Center · Indian Trail, NC
Active · expires Dec 19, 2026
CLIA Number34D0981208
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorLisa D. Holloman
Laboratory Phone(704) 882-3420
Laboratory LocationEverest Long Term Care, LLC Dba Lake Park Nursing And Rehab Center3315 Faith Church Rd, Indian Trail, NC 28079
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA NICOLE HATHCOCK COTA
Occupational Therapy Assistant (Low Vision)
3315 FAITH CHURCH RD
INDIAN TRAIL, NC 28079
Union County (704) 882-3420
DIANDRA BAILEY SLP
Speech-Language Pathologist
3315 FAITH CHURCH RD
INDIAN TRAIL, NC 28079
Union County (704) 882-3420
TOMMY L HONEYCUTT MLS, BMED., PTA
Physical Therapy Assistant
3315 FAITH CHURCH RD
INDIAN TRAIL, NC 28079
Union County (704) 882-3420
MRS. DONNA LYNNE GARRETT OTRL
Occupational Therapist
3315 FAITH CHURCH RD
INDIAN TRAIL, NC 28079
Union County (704) 882-3420
EVEREST LONG TERM CARE, LLC
Skilled Nursing Facility
3315 FAITH CHURCH RD
INDIAN TRAIL, NC 28079
Union County (704) 882-3420
VICTORIA ALDEN BRYS L.P.T.
Physical Therapist
3315 FAITH CHURCH RD
INDIAN TRAIL, NC 28079
Union County (704) 882-3420
MRS. CHRISTINA ZAFIRIS RIGAS MS-CCC.SLP
Speech-Language Pathologist
3315 FAITH CHURCH RD
INDIAN TRAIL, NC 28079
Union County (704) 882-3420
HEATHER R BENNETT
Physical Therapy Assistant
3315 FAITH CHURCH RD
INDIAN TRAIL, NC 28079
Union County (704) 882-5871

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 Britthaven, Inc.'s NPI number?

The NPI number for Britthaven, Inc. is 1497942825. It was assigned to this organization in the NPPES registry on October 1, 2007. The provider is doing business as Lake Park Nursing & Rehab Center.

Where is Britthaven, Inc. located?

Britthaven, Inc. is located at 3315 Faith Church Rd, Indian Trail, NC 28079. The listed phone number is (704) 882-3420.

What is Britthaven, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Britthaven, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0981208) is associated with this NPI, valid through December 19, 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 Britthaven, Inc. was last updated on October 1, 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.