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CEDARBROOK RESIDENTIAL CENTER, INC.
NPI 1619012812
Custodial Care Facility - Adult Care Home in Nebo, NC

Active since February 21, 2007CLIA 34D2023618 · Waiver
1267 PINNACLE CHURCH RD, NEBO, NC 28761(828) 652-4633 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cedarbrook Residential Center, Inc. NPPES

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

CEDARBROOK RESIDENTIAL CENTER, INC. (NPI 1619012812) is a healthcare organization registered as an adult care home in Nebo, North Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through December 11, 2027 and lists Fred H Leonard, President, as its authorized official.

NPPES Registry Identity

NPI1619012812
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameCEDARBROOK RESIDENTIAL CENTER, INC.
Location Address1267 PINNACLE CHURCH RDNebo, NC 28761-5753
Mailing AddressPo Box 1257Marion, NC 28752-1257 · (828) 652-4633
Phone(828) 652-4633
Organization SubpartNo
Authorized OfficialFred H LeonardPresident · (828) 652-4633
Enumeration DateFebruary 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619012812 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 · HAL059021
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.
1267 PINNACLE CHURCH RD, Nebo, NC 28761
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Other Identifiers 1

Medicaid7804606NC

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 34D2023618

Cedarbrook Residential Center, Inc · Nebo, NC
Active · expires Dec 11, 2027
CLIA Number34D2023618
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorMeredith G. Boswell
Laboratory Phone(828) 652-4633
Laboratory LocationCedarbrook Residential Center, Inc1267 Pinnacle Church Road, Nebo, NC 28761
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Cedarbrook Residential Center, Inc.'s NPI number?

The NPI number for Cedarbrook Residential Center, Inc. is 1619012812. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Cedarbrook Residential Center, Inc. located?

Cedarbrook Residential Center, Inc. is located at 1267 Pinnacle Church Rd, Nebo, NC 28761. The listed phone number is (828) 652-4633.

What is Cedarbrook Residential Center, Inc.'s specialty?

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

Does Cedarbrook Residential Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2023618) is associated with this NPI, valid through December 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cedarbrook Residential Center, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.