GLENCARE OF HOLLY RIDGE
NPI 1679612642
Assisted Living Facility in Holy Ridge, NC

Q: What is Glencare Assisted Living, Inc.'s NPI number?

The NPI number for Glencare Assisted Living, Inc. is 1679612642. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider is doing business as Glencare Of Holly Ridge.

Q: What is Glencare Assisted Living, Inc.'s specialty?

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

Active since February 06, 2007

3255 SOUND ROAD, HOLY RIDGE, NC 28445(910) 329-9941(910) 329-9943 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Glencare Of Holly Ridge NPPES

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

GLENCARE OF HOLLY RIDGE (NPI 1679612642) is a healthcare organization registered as an assisted living facility in Holy Ridge, North Carolina and active in the NPI registry since February 2007. The organization lists Marian Anne Kornegay, Vice President, as its authorized official.

NPPES Registry Identity

NPI1679612642

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameGLENCARE ASSISTED LIVING, INC.

Location Address3255 SOUND ROADHoly Ridge, NC 28445-0157

Mailing AddressPo Box 339Kenansville, NC 28349-0339 · (910) 275-0058 · Fax (910) 275-0093

Phone(910) 329-9941

Fax(910) 329-9943

Organization SubpartNo

Authorized OfficialMarian Anne KornegayVice President · (910) 275-0058

Enumeration DateFebruary 6, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1679612642 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 · HAL067015

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.

3255 SOUND ROAD, Holy Ridge, NC 28445

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Other Names 1

Doing Business AsGlencare Of Holly Ridge

Other Identifiers 1

Medicaid7805699NC

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 Glencare Assisted Living, Inc.'s NPI number?

The NPI number for Glencare Assisted Living, Inc. is 1679612642. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider is doing business as Glencare Of Holly Ridge.

Where is Glencare Assisted Living, Inc. located?

Glencare Assisted Living, Inc. is located at 3255 Sound Road, Holy Ridge, NC 28445. The listed phone number is (910) 329-9941.

What is Glencare Assisted Living, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Glencare Assisted Living, 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 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.