WILLOW RIDGE OF NC, LLC
NPI 1609886159
Skilled Nursing Facility in Rutherfordton, NC
About Willow Ridge Of Nc, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLOW RIDGE OF NC, LLC (NPI 1609886159) is a healthcare organization registered as a skilled nursing facility in Rutherfordton, North Carolina and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Marcella Graf, Executive Controller, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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 34D0670857
Willow Ridge Of Nc LLC · Rutherfordton, NCOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Willow Ridge Of Nc, LLC's NPI number?
The NPI number for Willow Ridge Of Nc, LLC is 1609886159. It was assigned to this organization in the NPPES registry on August 8, 2006.
Where is Willow Ridge Of Nc, LLC located?
Willow Ridge Of Nc, LLC is located at 237 Tryon Rd, Rutherfordton, NC 28139. The listed phone number is (828) 286-7200.
What is Willow Ridge Of Nc, LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Willow Ridge Of Nc, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D0670857) is associated with this NPI, valid through August 31, 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 Willow Ridge Of Nc, LLC was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.