WILLOW RIDGE OF NC, LLC
NPI 1609886159
Skilled Nursing Facility in Rutherfordton, NC

Active since August 08, 2006CLIA 34D0670857 · Waiver
237 TRYON RD, RUTHERFORDTON, NC 28139(828) 286-7200(828) 287-3668 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1609886159
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWILLOW RIDGE OF NC, LLC
Location Address237 TRYON RDRutherfordton, NC 28139-3058
Mailing Address237 Tryon RdRutherfordton, NC 28139-3058 · (828) 286-7200 · Fax (828) 287-3668
Fax(828) 287-3668
Organization SubpartNo
Authorized OfficialMarcella GrafExecutive Controller · (224) 377-2400
Enumeration DateAugust 8, 2006
Last NPPES UpdateFebruary 26, 2015
NPI 1609886159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NC · NH0590
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
237 TRYON RD, Rutherfordton, NC 28139

Other Identifiers 2

Medicaid3435197NC
Medicare OSCAR/certification345197NC

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, NC
Active · expires Aug 31, 2026
CLIA Number34D0670857
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRuby Thompson
Laboratory Phone(828) 286-7200
Laboratory LocationWillow Ridge Of Nc LLC237 Tryon Road, Rutherfordton, NC 28139
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.

Skilled Nursing Facility
237 TRYON RD
RUTHERFORDTON, NC 28139

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.