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SCOTLAND HOUSE
NPI 1689169450
Custodial Care Facility - Adult Care Home in Scotland Neck, NC

Active since June 25, 2018CLIA 34D2155683 · Waiver
27669 HIGHWAY 125, SCOTLAND NECK, NC 27874(252) 826-0475 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2021, Jun 25, 2018 (2 updates tracked since 2018).

About Scotland House NPPES

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

SCOTLAND HOUSE (NPI 1689169450) is a healthcare organization registered as an adult care home in Scotland Neck, North Carolina and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through October 2, 2026 and lists Charles E Trefzger, Manager, as its authorized official.

NPPES Registry Identity

NPI1689169450
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameHALIFAX OPCO HOLDINGS, LLC
Location Address27669 HIGHWAY 125Scotland Neck, NC 27874
Mailing AddressPo Box 2568Hickory, NC 28603-2568 · (828) 322-5535
Phone(252) 826-0475
Organization SubpartNo
Authorized OfficialCharles E TrefzgerManager · (828) 322-5535
Enumeration DateJune 25, 2018
Last NPPES UpdateNovember 9, 20212 updates tracked since enumeration
NPPES CertifiedNovember 9, 2021
✔ NPI 1689169450 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 HAL042006 (NC)
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
27669 HIGHWAY 125, Scotland Neck, NC 27874
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Other Names 1

Doing Business AsScotland House

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 34D2155683

Scotland House · Scotland Neck, NC
Active · expires Oct 2, 2026
CLIA Number34D2155683
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorKelly Raynor
Laboratory Phone(252) 696-4445
Laboratory LocationScotland House27669 Highway 125, Scotland Neck, NC 27874
CLIA data matches this NPI record on: Address Name
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 Halifax Opco Holdings, LLC's NPI number?

The NPI number for Halifax Opco Holdings, LLC is 1689169450. It was assigned to this organization in the NPPES registry on June 25, 2018. The provider is doing business as Scotland House.

Where is Halifax Opco Holdings, LLC located?

Halifax Opco Holdings, LLC is located at 27669 Highway 125, Scotland Neck, NC 27874. The listed phone number is (252) 826-0475.

What is Halifax Opco Holdings, LLC's specialty?

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

Does Halifax Opco Holdings, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2155683) is associated with this NPI, valid through October 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Halifax Opco Holdings, LLC was last updated on November 9, 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.