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THE GARDENS OF PAMLICO
NPI 1538287222
Assisted Living Facility in Grantsboro, NC

Active since March 27, 2007CLIA 34D2114750 · Waiver
22 MAGNOLIA WAY, GRANTSBORO, NC 28529(252) 745-8208(252) 745-5424 Get Directions Write a Review

NPPES record last updated: December 12, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About The Gardens Of Pamlico NPPES

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

THE GARDENS OF PAMLICO (NPI 1538287222) is a healthcare organization registered as an assisted living facility in Grantsboro, North Carolina and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through June 20, 2028 and lists Edward Lee Barham, Administrator / Owner, as its authorized official.

NPPES Registry Identity

NPI1538287222
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMAGNOLIA WOODS SENIOR VILLAGE, INC
Location Address22 MAGNOLIA WAYGrantsboro, NC 28529-0276
Mailing AddressP.o. Box 276Grantsboro, NC 28529-0276 · (252) 745-8208 · Fax (252) 745-5424
Phone(252) 745-8208
Fax(252) 745-5424
Organization SubpartYesParent: Magnolia Woods Senior Village, Inc.
Authorized OfficialEdward Lee BarhamAdministrator / Owner · (252) 745-8208
Enumeration DateMarch 27, 2007
Last NPPES UpdateDecember 12, 2012
✔ NPI 1538287222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NC · HAL 069001
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.
22 MAGNOLIA WAY, Grantsboro, NC 28529
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Other Names 1

Doing Business AsThe Gardens Of Pamlico

Other Identifiers 1

Medicaid7806722NC

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 34D2114750

The Gardens Of Pamlico · Grantsboro, NC
Active · expires Jun 20, 2028
CLIA Number34D2114750
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorTeri Barker
Laboratory Phone(252) 745-8208
Laboratory LocationThe Gardens Of Pamlico22 Magnolia Way, Grantsboro, NC 28529
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.

GRANTSBORO OPCO HOLDINGS
Custodial Care Facility (Adult Care Home)
22 MAGNOLIA WAY
GRANTSBORO, NC 28529
Pamlico County (252) 745-8202

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 Magnolia Woods Senior Village, Inc's NPI number?

The NPI number for Magnolia Woods Senior Village, Inc is 1538287222. It was assigned to this organization in the NPPES registry on March 27, 2007. The provider is doing business as The Gardens Of Pamlico.

Where is Magnolia Woods Senior Village, Inc located?

Magnolia Woods Senior Village, Inc is located at 22 Magnolia Way, Grantsboro, NC 28529. The listed phone number is (252) 745-8208.

What is Magnolia Woods Senior Village, Inc's specialty?

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

Does Magnolia Woods Senior Village, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2114750) is associated with this NPI, valid through June 20, 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 Magnolia Woods Senior Village, Inc was last updated on December 12, 2012. 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.