HAYWOOD LODGE & RETIREMENT CENTER - NPI 1649398777 - Custodial Care Facility in Waynesville, NC

Q: What is the provider's specialty?

The provider's specialty is Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.

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About Haywood Lodge & Retirement Center NPPES

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

HAYWOOD LODGE & RETIREMENT CENTER (NPI 1649398777) is a healthcare organization registered as an adult care home in Waynesville, North Carolina and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through May 24, 2027 and lists Aaron Douglas Crawford, Owner, as its authorized official.

NPPES Registry Identity

NPI1649398777

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameEARL ENTERPRISES INC.

Location Address251 SHELTON STWaynesville, NC 28786-3362

Mailing Address251 Shelton StWaynesville, NC 28786-3362 · (828) 456-8365 · Fax (828) 456-6792

Phone(828) 456-8365

Fax(828) 456-6792

Organization SubpartNo

Authorized OfficialAaron Douglas CrawfordOwner · (828) 456-8365

Enumeration DateMarch 27, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1649398777 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 · HAL-044-009

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.

251 SHELTON ST, Waynesville, NC 28786

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Other Names 1

Doing Business AsHaywood Lodge & Retirement Center

Other Identifiers 1

Medicaid7801888NC

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 34D2024885

Haywood Lodge & Retirement Center · Waynesville, NC

Active · expires May 24, 2027

CLIA Number34D2024885

Laboratory TypeAssisted Living Facility

Certificate Effective DateMay 25, 2025

Certificate Expiration DateMay 24, 2027

Laboratory DirectorAaron D. Crawford

Laboratory Phone(828) 456-8365

Laboratory LocationHaywood Lodge & Retirement Center251 Shelton St, Waynesville, NC 28786

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 5

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

CAROLINE VISSER MPT

Physical Therapist