THE HERMITAGE RETIREMENT CENTER
NPI 1558468769
Custodial Care Facility - Adult Care Home in Rockingham, NC

Active since September 20, 2006CLIA 34D2017184 · Waiver
139 MALLARD LN, ROCKINGHAM, NC 28379(910) 895-0750 Get Directions Write a Review

NPPES record last updated: September 23, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About The Hermitage Retirement Center NPPES

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

THE HERMITAGE RETIREMENT CENTER (NPI 1558468769) is a healthcare organization registered as an adult care home in Rockingham, North Carolina and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through December 6, 2026 and lists Judy Epps Click, Controller, as its authorized official.

NPPES Registry Identity

NPI1558468769
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSOUTHERN HEALTH CARE, INC.
Location Address139 MALLARD LNRockingham, NC 28379-5203
Mailing AddressPo Box 1010Raeford, NC 28376-1010 · (910) 875-4551
Organization SubpartNo
Authorized OfficialJudy Epps ClickController · (910) 875-4551
Enumeration DateSeptember 20, 2006
Last NPPES UpdateSeptember 23, 2008
✔ NPI 1558468769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NC · HAL-077-005
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.
139 MALLARD LN, Rockingham, NC 28379

Other Names 1

Doing Business AsThe Hermitage Retirement Center

Other Identifiers 1

Medicaid7801208NC

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 34D2017184

The Hermitage Retirement Center · Raeford, NC
Active · expires Dec 6, 2026
CLIA Number34D2017184
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorTaylis Manuel
Laboratory Phone(910) 895-0750
Laboratory LocationThe Hermitage Retirement Center612 Health Drive, Raeford, NC 28376
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Custodial Care Facility (Adult Care Home)
139 MALLARD LN
ROCKINGHAM, NC 28379
Custodial Care Facility (Adult Care Home)
139 MALLARD LN
ROCKINGHAM, NC 28379

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 Southern Health Care, Inc.'s NPI number?

The NPI number for Southern Health Care, Inc. is 1558468769. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as The Hermitage Retirement Center.

Where is Southern Health Care, Inc. located?

Southern Health Care, Inc. is located at 139 Mallard Ln, Rockingham, NC 28379. The listed phone number is (910) 895-0750.

What is Southern Health Care, Inc.'s specialty?

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

Does Southern Health Care, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2017184) is associated with this NPI, valid through December 6, 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 Southern Health Care, Inc. was last updated on September 23, 2008. 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.