PINE FORREST HOME FOR THE AGED
NPI 1720145113
Assisted Living Facility in Reidsville, NC

Q: What is Alexandria Adelaide, Inc.'s NPI number?

The NPI number for Alexandria Adelaide, Inc. is 1720145113. It was assigned to this organization in the NPPES registry on January 3, 2007. The provider is doing business as Pine Forrest Home For The Aged.

Q: What is Alexandria Adelaide, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since January 03, 2007CLIA 34D2064900 · Waiver

312 BROAD ST, REIDSVILLE, NC 27320(336) 342-4946(336) 342-4799 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Pine Forrest Home For The Aged NPPES

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

PINE FORREST HOME FOR THE AGED (NPI 1720145113) is a healthcare organization registered as an assisted living facility in Reidsville, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 28, 2027 and lists Alexandria Battle, Owner, as its authorized official.

NPPES Registry Identity

NPI1720145113

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameALEXANDRIA ADELAIDE, INC.

Location Address312 BROAD STReidsville, NC 27320-6506

Mailing AddressPo Box 26Reidsville, NC 27323-0026 · (336) 342-4946 · Fax (336) 342-4799

Phone(336) 342-4946

Fax(336) 342-4799

Organization SubpartNo

Authorized OfficialAlexandria BattleOwner · (336) 342-4946

Enumeration DateJanuary 3, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1720145113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in NC · HAL-079-004

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

312 BROAD ST, Reidsville, NC 27320

Open in Google Maps ↗

Other Names 1

Doing Business AsPine Forrest Home For The Aged

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 34D2064900

Pine Forrest Home For The Aged · Reidsville, NC

Active · expires Aug 28, 2027

CLIA Number34D2064900

Laboratory TypeAssisted Living Facility

Certificate Effective DateAugust 29, 2025

Certificate Expiration DateAugust 28, 2027

Laboratory DirectorTrudy J. Blackwell

Laboratory Phone(336) 342-1311

Laboratory LocationPine Forrest Home For The Aged312 Broad Street, Reidsville, NC 27320

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 Alexandria Adelaide, Inc.'s NPI number?

The NPI number for Alexandria Adelaide, Inc. is 1720145113. It was assigned to this organization in the NPPES registry on January 3, 2007. The provider is doing business as Pine Forrest Home For The Aged.

Where is Alexandria Adelaide, Inc. located?

Alexandria Adelaide, Inc. is located at 312 Broad St, Reidsville, NC 27320. The listed phone number is (336) 342-4946.

What is Alexandria Adelaide, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Alexandria Adelaide, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2064900) is associated with this NPI, valid through August 28, 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 Alexandria Adelaide, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.