GABRIEL MANOR ASSISTED LIVING CENTER
NPI 1639512734
Assisted Living Facility in Clayton, NC

Active since April 09, 2013CLIA 34D2081169 · Waiver
84 JOHNSON ESTATE ROAD, CLAYTON, NC 27520(919) 359-3878(919) 359-3876 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Gabriel Manor Assisted Living Center NPPES

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

GABRIEL MANOR ASSISTED LIVING CENTER (NPI 1639512734) is a healthcare organization registered as an assisted living facility in Clayton, North Carolina and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through September 21, 2028 and lists William I. Weisberg, President, as its authorized official.

NPPES Registry Identity

NPI1639512734
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSMITHFIELD EAST HEALTH HOLDINGS, LLC
Location Address84 JOHNSON ESTATE ROADClayton, NC 27520
Mailing Address23700 Commerce ParkBeachwood, OH 44122-5827 · (216) 292-5706
Fax(919) 359-3876
Organization SubpartYesParent: Saber Healthcare Holdings, Llc
Authorized OfficialWilliam I. WeisbergPresident · (216) 292-5706
Enumeration DateApril 9, 2013
Last NPPES UpdateFebruary 14, 2022
NPPES CertifiedFebruary 14, 2022
NPI 1639512734 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-051-048
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.
84 JOHNSON ESTATE ROAD, Clayton, NC 27520

Other Names 1

Doing Business AsGabriel Manor Assisted Living Center

Other Identifiers 1

Medicaid1639512734NC

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 34D2081169

Gabriel Manor Assisted Living · Clayton, NC
Active · expires Sep 21, 2028
CLIA Number34D2081169
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 22, 2026
Certificate Expiration DateSeptember 21, 2028
Laboratory DirectorPamela J. Mayo
Laboratory Phone(919) 359-3878
Laboratory LocationGabriel Manor Assisted Living84 Johnson Estate Road, Clayton, NC 27520
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 Smithfield East Health Holdings, LLC's NPI number?

The NPI number for Smithfield East Health Holdings, LLC is 1639512734. It was assigned to this organization in the NPPES registry on April 9, 2013. The provider is doing business as Gabriel Manor Assisted Living Center.

Where is Smithfield East Health Holdings, LLC located?

Smithfield East Health Holdings, LLC is located at 84 Johnson Estate Road, Clayton, NC 27520. The listed phone number is (919) 359-3878.

What is Smithfield East Health Holdings, LLC's specialty?

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

Does Smithfield East Health Holdings, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2081169) is associated with this NPI, valid through September 21, 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 Smithfield East Health Holdings, LLC was last updated on February 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.