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PARKWOOD VILLAGE
NPI 1619265261
Assisted Living Facility in Wilson, NC

Active since July 18, 2011CLIA 34D1095429 · Waiver
1730 PARKWOOD BLVD W, WILSON, NC 27893(252) 237-9050(252) 237-9093 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Parkwood Village NPPES

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

PARKWOOD VILLAGE (NPI 1619265261) is a healthcare organization registered as an assisted living facility in Wilson, North Carolina and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through February 8, 2027 and lists Katherine E Potter, President & Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1619265261
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFVE SE WILSON LLC
Location Address1730 PARKWOOD BLVD WWilson, NC 27893-3564
Mailing Address400 Centre StNewton, MA 02458-2094 · (617) 796-8387 · Fax (617) 796-8385
Phone(252) 237-9050
Fax(252) 237-9093
Organization SubpartNo
Authorized OfficialKatherine E PotterPresident & Chief Executive Officer · (617) 796-8387
Enumeration DateJuly 18, 2011
Last NPPES UpdateMarch 28, 2019
✔ NPI 1619265261 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-098-029
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.

1730 PARKWOOD BLVD W, Wilson, NC 27893
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Other Names 1

Doing Business AsParkwood Village

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 34D1095429

Parkwood Village · Wilson, NC
Active · expires Feb 8, 2027
CLIA Number34D1095429
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorSara Baker
Laboratory Phone(252) 237-9050
Laboratory LocationParkwood Village1730 Parkwood Boulevard, Wilson, NC 27893
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 2

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

PARKWOOD VILLAGE, LLC
Assisted Living Facility
1730 PARKWOOD BLVD W
WILSON, NC 27893
Wilson County (252) 237-9050
SNH NC TENANT LLC
Assisted Living Facility
1730 PARKWOOD BLVD W
WILSON, NC 27893
Wilson County (252) 237-9050

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 Fve SE Wilson LLC's NPI number?

The NPI number for Fve SE Wilson LLC is 1619265261. It was assigned to this organization in the NPPES registry on July 18, 2011. The provider is doing business as Parkwood Village.

Where is Fve SE Wilson LLC located?

Fve SE Wilson LLC is located at 1730 Parkwood Blvd W, Wilson, NC 27893. The listed phone number is (252) 237-9050.

What is Fve SE Wilson LLC's specialty?

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

Does Fve SE Wilson LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1095429) is associated with this NPI, valid through February 8, 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 Fve SE Wilson LLC was last updated on March 28, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.