PLANTATION VILLAGE
NPI 1629216577
In Home Supportive Care in Wilmington, NC

Q: What is Plantation Village's NPI number?

The NPI number for Plantation Village is 1629216577. It was assigned to this organization in the NPPES registry on January 30, 2009.

Q: What is Plantation Village's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since January 30, 2009CLIA 34D2005913 · Waiver

1200 PORTERS NECK RD, WILMINGTON, NC 28411(910) 772-3123 Get Directions Write a Review

NPPES record last updated: January 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Plantation Village NPPES

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

PLANTATION VILLAGE (NPI 1629216577) is a healthcare organization registered as an in home supportive care in Wilmington, North Carolina and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through April 7, 2028 and lists Debra B Gibson, Director Of Nursing, as its authorized official.

NPPES Registry Identity

NPI1629216577

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NamePLANTATION VILLAGE

Location Address1200 PORTERS NECK RDWilmington, NC 28411

Mailing Address1200 Porters Neck RdWilmington, NC 28411-7622 · (910) 772-3123

Phone(910) 772-3123

Organization SubpartNo

Authorized OfficialDebra B GibsonDirector Of Nursing · (910) 772-3123

Enumeration DateJanuary 30, 2009

✔ NPI 1629216577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

License✔ Licensed in NC · HC1830

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

1200 PORTERS NECK RD, Wilmington, NC 28411

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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 34D2005913

Plantation Village Home Care · Wilmington, NC

Active · expires Apr 7, 2028

CLIA Number34D2005913

Laboratory TypeHome Care

Certificate Effective DateApril 8, 2026

Certificate Expiration DateApril 7, 2028

Laboratory DirectorAlyssa Thompson

Laboratory Phone(910) 772-3187

Laboratory LocationPlantation Village Home Care1200 Porters Neck Road, Wilmington, NC 28411

CLIA data matches this NPI record on: Address Name

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.

CIARA HALEY SLP

Speech-Language Pathologist

1200 PORTERS NECK RD
WILMINGTON, NC 28411

New Hanover County (866) 806-6213

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 Plantation Village's NPI number?

The NPI number for Plantation Village is 1629216577. It was assigned to this organization in the NPPES registry on January 30, 2009.

Where is Plantation Village located?

Plantation Village is located at 1200 Porters Neck Rd, Wilmington, NC 28411. The listed phone number is (910) 772-3123.

What is Plantation Village's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Does Plantation Village hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2005913) is associated with this NPI, valid through April 7, 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 Plantation Village was last updated on January 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.