WILSON HOUSE
NPI 1679621841
Custodial Care Facility - Adult Care Home in Wilson, NC

Q: What is Wilson House LLC's NPI number?

The NPI number for Wilson House LLC is 1679621841. It was assigned to this organization in the NPPES registry on January 6, 2007. The provider is doing business as Wilson House.

Q: What is Wilson House LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Wilson House LLC was last updated on November 1, 2021. 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.

Active since January 06, 2007CLIA 34D2019541 · Waiver

1800 MARTIN LUTHER KING JR PKWY SE, WILSON, NC 27893(252) 237-4243(252) 237-4222 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2021, Aug 22, 2020 (2 updates tracked since 2020).

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About Wilson House NPPES

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

WILSON HOUSE (NPI 1679621841) is a healthcare organization registered as an adult care home in Wilson, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Charles E Trefzger, Manager, as its authorized official.

NPPES Registry Identity

NPI1679621841

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameWILSON HOUSE LLC

Location Address1800 MARTIN LUTHER KING JR PKWY SEWilson, NC 27893-6527

Mailing AddressPo Box 2568Hickory, NC 28603-2568 · (828) 324-8898 · Fax (828) 322-9587

Phone(252) 237-4243

Fax(252) 237-4222

Organization SubpartNo

Authorized OfficialCharles E TrefzgerManager · (828) 322-5535

Enumeration DateJanuary 6, 2007

Last NPPES UpdateNovember 1, 20212 updates tracked since enumeration

NPPES CertifiedNovember 1, 2021

✔ NPI 1679621841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

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.

Also ListedAssisted Living FacilityTaxonomy 310400000X · License HAL-098-023 (NC)

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X

1800 MARTIN LUTHER KING JR PKWY SE, Wilson, NC 27893

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Other Names 1

Doing Business AsWilson House

Other Identifiers 1

Medicaid7805561NC

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 34D2019541

Wilson House · Wilson, NC

Active · expires Jan 31, 2027

CLIA Number34D2019541

Laboratory TypeAssisted Living Facility

Certificate Effective DateFebruary 1, 2025

Certificate Expiration DateJanuary 31, 2027

Laboratory DirectorDonna Dawson

Laboratory Phone(252) 237-4243

Laboratory LocationWilson House1800 Mlk Jr Parkway SE, Wilson, NC 27894

CLIA data matches this NPI record on: 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 Wilson House LLC's NPI number?

The NPI number for Wilson House LLC is 1679621841. It was assigned to this organization in the NPPES registry on January 6, 2007. The provider is doing business as Wilson House.

Where is Wilson House LLC located?

Wilson House LLC is located at 1800 Martin Luther King Jr Pkwy SE, Wilson, NC 27893. The listed phone number is (252) 237-4243.

What is Wilson House LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Wilson House LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2019541) is associated with this NPI, valid through January 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wilson House LLC was last updated on November 1, 2021. 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.