ELDERHAUS, INC - NPI 1699983312 - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Wilmington, NC

Q: What is Elderhaus, Inc's NPI number?

The NPI number for Elderhaus, Inc is 1699983312. It was assigned to this organization in the NPPES registry on May 18, 2007.

Q: What is Elderhaus, Inc's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Q: When was this NPI record last updated?

The NPPES record for Elderhaus, Inc was last updated on August 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Elderhaus, Inc NPPES

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

ELDERHAUS, INC (NPI 1699983312) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Wilmington, North Carolina and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 23, 2027 and lists Ruth Finch, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1699983312

Entity TypeOrganization

Primary Taxonomy251T00000X

Legal Business NameELDERHAUS, INC

Location Address2222 S 17TH STWilmington, NC 28401-7515

Mailing Address2222 S 17th StWilmington, NC 28401-7515 · (910) 343-8209 · Fax (910) 343-8836

Phone(910) 343-8209

Fax(910) 343-8836

Organization SubpartNo

Authorized OfficialRuth FinchExecutive Director · (910) 343-8209

Enumeration DateMay 18, 2007

Last NPPES UpdateAugust 24, 2022

NPPES CertifiedAugust 24, 2022

✔ NPI 1699983312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies

Taxonomy Code251T00000X

Definition

A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X

2222 S 17TH ST, Wilmington, NC 28401

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Other Identifiers 1

Medicaid3408284NC

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 34D1075627

Elderhaus Inc · Wilmington, NC

Active · expires Oct 23, 2027

CLIA Number34D1075627

Laboratory TypePhysician Office

Certificate Effective DateOctober 24, 2025

Certificate Expiration DateOctober 23, 2027

Laboratory DirectorDavid Roddy

Laboratory Phone(910) 343-8209

Laboratory LocationElderhaus Inc1320 N College Road, Wilmington, NC 28405

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 9

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

MRS. BERNADETTE ALLEN CORREA RN

Registered Nurse