PREMIER LIVING AND REHAB CENTER
NPI 1720085293
Nursing Facility/Intermediate Care Facility in Lake Waccamaw, NC

Q: What is Premier Living And Rehab Center's NPI number?

The NPI number for Premier Living And Rehab Center is 1720085293. It was assigned to this organization in the NPPES registry on June 30, 2005.

Q: What is Premier Living And Rehab Center's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Q: What quality rating does Premier Living And Rehab Center have?

CMS rates Premier Living And Rehab Center 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since June 30, 2005CLIA 34D0673884 · Waiver

1/5

Overall Rating

106 CAMERON ST, LAKE WACCAMAW, NC 28450(910) 646-3132(910) 646-4071 Get Directions Write a Review

NPPES record last updated: November 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Premier Living And Rehab Center NPPES

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

PREMIER LIVING AND REHAB CENTER (NPI 1720085293) is a healthcare organization registered as a nursing facility/intermediate care facility in Lake Waccamaw, North Carolina and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Linda Benton Parnell, Administrator, as its authorized official.

NPPES Registry Identity

NPI1720085293

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NamePREMIER LIVING AND REHAB CENTER

Location Address106 CAMERON STLake Waccamaw, NC 28450-1900

Mailing Address106 Cameron StLake Waccamaw, NC 28450-1900 · (910) 646-3132 · Fax (910) 646-4071

Phone(910) 646-3132

Fax(910) 646-4071

Organization SubpartNo

Authorized OfficialLinda Benton ParnellAdministrator · (910) 646-3132

Enumeration DateJune 30, 2005

Last NPPES UpdateNovember 2, 2011

✔ NPI 1720085293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License NH0246 (NC)

Also ListedDurable Medical Equipment & Medical Supplies · Nursing Facility SuppliesTaxonomy 332BN1400X · License 5030990001 (NC)

Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 5030990001 (NC)

106 CAMERON ST, Lake Waccamaw, NC 28450

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Other Identifiers 5

Medicaid3435185NC

Medicare ID-Type Unspecified345185NC

Medicare NSC5030990001NC

Medicaid3436171NC

Medicaid7804320NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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 34D0673884

Premier Living & Rehabilitation Center · Lake Waccamaw, NC

Active · expires Aug 31, 2026

CLIA Number34D0673884

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorChristy Dehne

Laboratory Phone(910) 646-3132

Laboratory LocationPremier Living & Rehabilitation Center106 Cameron Street, Lake Waccamaw, NC 28450

CLIA data matches this NPI record on: Address Phone

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

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Premier Living And Rehab Center (CMS certification number 345185), from CMS Care Compare.

Premier Living And Rehab Center

Nursing home · Lake Waccamaw, NC

1/5 CMS Overall Rating

OwnershipFor profit - Individual

CMS Certification Number345185

Certified Beds127 beds68 residents per day on average

Medicare & Medicaid Participant SinceSeptember 29, 1978

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

1/5

Long-Stay Quality

Quality of care delivered to long-term residents.

1/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

1/5

Staffing

Based on nursing staff hours relative to resident needs.

1/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

582.83

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.

CMS lists this facility in its Special Focus Facility program, which identifies nursing homes with a persistent pattern of inspection issues for increased oversight.

Facility-Reported Incidents

Substantiated Complaints

Fines

1 totaling $410,830.00

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

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

DR. HANNAH M FISHER DPT

Physical Therapist

106 CAMERON ST
LAKE WACCAMAW, NC 28450

Columbus County (910) 646-3132

PREMIER LIVING AND HEALTHCARE CENTER LLC

Skilled Nursing Facility

106 CAMERON ST
LAKE WACCAMAW, NC 28450

Columbus County (910) 646-3132

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 Premier Living And Rehab Center's NPI number?

The NPI number for Premier Living And Rehab Center is 1720085293. It was assigned to this organization in the NPPES registry on June 30, 2005.

Where is Premier Living And Rehab Center located?

Premier Living And Rehab Center is located at 106 Cameron St, Lake Waccamaw, NC 28450. The listed phone number is (910) 646-3132.

What is Premier Living And Rehab Center's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Premier Living And Rehab Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0673884) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Premier Living And Rehab Center a Medicare-certified nursing home?

Yes. Premier Living And Rehab Center is a Medicare-certified nursing home with 127 certified beds.

What quality rating does Premier Living And Rehab Center have?

CMS rates Premier Living And Rehab Center 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Premier Living And Rehab Center accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and UnitedHealthcare list Premier Living And Rehab Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premier Living And Rehab Center was last updated on November 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.