MAGNOLIA CREEK ASSISTED LIVING
NPI 1699011361
Custodial Care Facility - Adult Care Home in Winston Salem, NC

Q: What is Wp-Winston-Salem Health Holdings, LLC's specialty?

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

Active since December 27, 2012CLIA 34D2019462 · Waiver

2560 WILLARD RD, WINSTON SALEM, NC 27107(336) 650-0699(336) 650-0132 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Magnolia Creek Assisted Living NPPES

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

MAGNOLIA CREEK ASSISTED LIVING (NPI 1699011361) is a healthcare organization registered as an adult care home in Winston Salem, North Carolina and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through June 21, 2028 and lists Charles E Trefzger, Manager, as its authorized official.

NPPES Registry Identity

NPI1699011361

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameWP-WINSTON-SALEM HEALTH HOLDINGS, LLC

Location Address2560 WILLARD RDWinston Salem, NC 27107-5543

Mailing AddressPo Box 2568Hickory, NC 28603-2568 · (828) 322-5535 · Fax (828) 326-8115

Phone(336) 650-0699

Fax(336) 650-0132

Organization SubpartNo

Authorized OfficialCharles E TrefzgerManager · (828) 322-5535

Enumeration DateDecember 27, 2012

Last NPPES UpdateOctober 26, 2021

NPPES CertifiedOctober 26, 2021

✔ NPI 1699011361 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-034-097 (NC)

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

2560 WILLARD RD, Winston Salem, NC 27107

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Other Names 1

Doing Business AsMagnolia Creek Assisted Living

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 34D2019462

Magnolia Creek · Winston-Salem, NC

Active · expires Jun 21, 2028

CLIA Number34D2019462

Laboratory TypeAssisted Living Facility

Certificate Effective DateJune 22, 2026

Certificate Expiration DateJune 21, 2028

Laboratory DirectorTrisha Biggs

Laboratory Phone(336) 650-0699

Laboratory LocationMagnolia Creek2560 Willard Road, Winston-Salem, NC 27107

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

SALEM HOUSE OF WINSTON-SALEM, LLC

Assisted Living Facility

2560 WILLARD RD
WINSTON-SALEM, NC 27107

Forsyth County (336) 650-0699

WINSTON-SALEM OPERATING AL, LLC

Assisted Living Facility

2560 WILLARD RD
WINSTON SALEM, NC 27107

Forsyth County (336) 650-0699

CTH CARE MANAGEMENT, LLC

Nursing Care

2560 WILLARD RD
WINSTON SALEM, NC 27107

Forsyth County (828) 322-5535

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 Wp-Winston-Salem Health Holdings, LLC's NPI number?

The NPI number for Wp-Winston-Salem Health Holdings, LLC is 1699011361. It was assigned to this organization in the NPPES registry on December 27, 2012. The provider is doing business as Magnolia Creek Assisted Living.

Where is Wp-Winston-Salem Health Holdings, LLC located?

Wp-Winston-Salem Health Holdings, LLC is located at 2560 Willard Rd, Winston Salem, NC 27107. The listed phone number is (336) 650-0699.

What is Wp-Winston-Salem Health 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 Wp-Winston-Salem Health Holdings, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2019462) is associated with this NPI, valid through June 21, 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 Wp-Winston-Salem Health Holdings, LLC was last updated on October 26, 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.