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VINTAGE INN OF WILLIAMSTON, LLC
NPI 1518042811
Assisted Living Facility in Williamston, NC

Active since October 26, 2006CLIA 34D2016181 · Waiver
826 EAST BLVD, HWY 17 N BYPASS, WILLIAMSTON, NC 27892(252) 792-8311 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Vintage Inn Of Williamston, Llc NPPES

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

VINTAGE INN OF WILLIAMSTON, LLC (NPI 1518042811) is a healthcare organization registered as an assisted living facility in Williamston, North Carolina and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through November 14, 2026 and lists Guy S Pierce, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1518042811
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVINTAGE INN OF WILLIAMSTON, LLC
Location Address826 EAST BLVD, HWY 17 N BYPASSWilliamston, NC 27892-2785
Mailing AddressPo Box 1487Kernersville, NC 27285-1487 · (336) 595-1075
Phone(252) 792-8311
Organization SubpartNo
Authorized OfficialGuy S PierceManaging Member · (336) 595-1075
Enumeration DateOctober 26, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1518042811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NC · HAL-058-007
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X · License HAL-058-007 (NC)
826 EAST BLVD, Williamston, NC 27892
Open in Google Maps ↗

Other Identifiers 1

Medicaid7804486NC

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 34D2016181

Vintage Inn · Williamston, NC
Active · expires Nov 14, 2026
CLIA Number34D2016181
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorStephanie Rickard
Laboratory Phone(252) 792-8311
Laboratory LocationVintage Inn826 E Blvd Hwy 17 N, Williamston, NC 27892
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

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

VINTAGE INN RETIREMENT COMMUNITY
Assisted Living Facility
826 EAST BLVD
WILLIAMSTON, NC 27892
Martin County (252) 792-8311

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 Vintage Inn Of Williamston, LLC's NPI number?

The NPI number for Vintage Inn Of Williamston, LLC is 1518042811. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Vintage Inn Of Williamston, LLC located?

Vintage Inn Of Williamston, LLC is located at 826 East Blvd Hwy 17 N Bypass, Williamston, NC 27892. The listed phone number is (252) 792-8311.

What is Vintage Inn Of Williamston, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Vintage Inn Of Williamston, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2016181) is associated with this NPI, valid through November 14, 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 Vintage Inn Of Williamston, LLC was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.