FALLS RIVER VILLAGE
NPI 1669694709
Assisted Living Facility in Raleigh, NC
About Falls River Village NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FALLS RIVER VILLAGE (NPI 1669694709) is a healthcare organization registered as an assisted living facility in Raleigh, North Carolina and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through April 20, 2028 and lists Jon Harder, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 34D2182398
Falls River Village · Raleigh, NCFrequently 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 Falls River Village Assisted Living, LLC's NPI number?
The NPI number for Falls River Village Assisted Living, LLC is 1669694709. It was assigned to this organization in the NPPES registry on May 2, 2007. The provider is doing business as Falls River Village.
Where is Falls River Village Assisted Living, LLC located?
Falls River Village Assisted Living, LLC is located at 1110 Falls River Avenue, Raleigh, NC 27614. The listed phone number is (919) 844-9747.
What is Falls River Village Assisted Living, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Falls River Village Assisted Living, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2182398) is associated with this NPI, valid through April 20, 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 Falls River Village Assisted Living, LLC 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 5 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.
# Falls River Village · NPI 1669694709
Assisted Living Facility organization in Raleigh, North Carolina. Organization record, active in the CMS NPPES registry since May 2, 2007.
## Identity
- **NPI:** 1669694709 (Entity type: Organization)
- **Enumerated:** May 2, 2007
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Falls River Village Assisted Living, Llc
- **Organization subpart:** No
- **Authorized official:** Jon Harder, MANAGER
## Practice location
- **Address:** 1110 FALLS RIVER AVENUE, Raleigh, NC 27614
- **Phone:** (919) 844-9747
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1669694709) · Data from the CMS NPPES public registry.