PENICK VILLAGE INC
NPI 1780693663
Skilled Nursing Facility in Southern Pines, NC
About Penick Village Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENICK VILLAGE INC (NPI 1780693663), doing business as Episcopal Home For The Ageing In The Dioces Of Nc, is a healthcare organization registered as a skilled nursing facility in Southern Pines, North Carolina and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Christopher Mooney, Senior Director Of Accounting, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
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 34D0862411
Penick Village, Inc · Southern Pines, NCOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Penick Village Inc's NPI number?
The NPI number for Penick Village Inc is 1780693663. It was assigned to this organization in the NPPES registry on August 7, 2006. The provider was formerly known as Episcopal Home For The Ageing In The Dioces Of Nc.
Where is Penick Village Inc located?
Penick Village Inc is located at 401 E Rhode Island Ave, Southern Pines, NC 28387. The listed phone number is (910) 692-0300.
What is Penick Village Inc's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Penick Village Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D0862411) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Penick Village Inc was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.