EDENTON HOUSE
NPI 1760682579
Assisted Living Facility in Edenton, NC
About Edenton House NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDENTON HOUSE (NPI 1760682579) is a healthcare organization registered as an assisted living facility in Edenton, North Carolina and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists Charles E Trefzger, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 34D2019439
Edenton House · Edenton, NCFrequently 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 Edenton House, LLC's NPI number?
The NPI number for Edenton House, LLC is 1760682579. It was assigned to this organization in the NPPES registry on July 19, 2007. The provider is also known as Edenton House.
Where is Edenton House, LLC located?
Edenton House, LLC is located at 323 Medical Arts Drive, Edenton, NC 27932. The listed phone number is (252) 482-1113.
What is Edenton House, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Edenton House, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2019439) is associated with this NPI, valid through January 30, 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 Edenton House, LLC was last updated on October 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Edenton House · NPI 1760682579
Assisted Living Facility organization in Edenton, North Carolina. Organization record, active in the CMS NPPES registry since July 19, 2007.
## Identity
- **NPI:** 1760682579 (Entity type: Organization)
- **Enumerated:** July 19, 2007
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Edenton House, Llc
- **Organization subpart:** No
- **Authorized official:** Charles Trefzger, MANAGER
## Practice location
- **Address:** 323 MEDICAL ARTS DRIVE, Edenton, NC 27932
- **Phone:** (252) 482-1113
## Record status
- **NPPES last updated:** October 15, 2007
- **Other identifiers:** Medicaid 7805865 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1760682579) · Data from the CMS NPPES public registry.