1. Home
  2. Directory
  3. North Carolina
  4. Sparta
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

NEW RIVER COTTAGE, INC.
NPI 1619984283
Intermediate Care Facility, Intellectual Disabilities in Sparta, NC

Active since August 03, 2006CLIA 34D2038459 · Waiver
82 DAVIS LANE, SPARTA, NC 28675(336) 372-5671(336) 372-5672 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About New River Cottage, Inc. NPPES

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

NEW RIVER COTTAGE, INC. (NPI 1619984283) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Sparta, North Carolina and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 19, 2028 and lists Darlene Douglas, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1619984283
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameNEW RIVER COTTAGE, INC.
Location Address82 DAVIS LANESparta, NC 28675-0488
Mailing AddressPo Box 488, 82 Davis LaneSparta, NC 28675-0488 · (336) 372-5671 · Fax (336) 372-5672
Phone(336) 372-5671
Fax(336) 372-5672
Organization SubpartNo
Authorized OfficialDarlene DouglasExecutive Director · (336) 372-5671
Enumeration DateAugust 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619984283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in NC · MHL003003
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
82 DAVIS LANE, Sparta, NC 28675
Open in Google Maps ↗

Other Identifiers 1

MedicaidMHL003003NC

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 34D2038459

New River Cottage, Inc · Sparta, NC
Active · expires Mar 19, 2028
CLIA Number34D2038459
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateMarch 20, 2026
Certificate Expiration DateMarch 19, 2028
Laboratory DirectorMitch Franklin
Laboratory Phone(336) 372-5671
Laboratory LocationNew River Cottage, Inc133 Health Services Road, Sparta, NC 28675
CLIA data matches this NPI record on: 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 New River Cottage, Inc.'s NPI number?

The NPI number for New River Cottage, Inc. is 1619984283. It was assigned to this organization in the NPPES registry on August 3, 2006.

Where is New River Cottage, Inc. located?

New River Cottage, Inc. is located at 82 Davis Lane, Sparta, NC 28675. The listed phone number is (336) 372-5671.

What is New River Cottage, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does New River Cottage, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2038459) is associated with this NPI, valid through March 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for New River Cottage, 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 6 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.