CAROLINA PINES
NPI 1841671245
Custodial Care Facility - Adult Care Home in Yadkinville, NC

Active since June 11, 2015CLIA 34D2023621 · Waiver
312 HARRISON AVE, YADKINVILLE, NC 27055(336) 679-8671(336) 679-7500 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2021, Sep 7, 2021 (2 updates tracked since 2021).

About Carolina Pines NPPES

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

CAROLINA PINES (NPI 1841671245) is a healthcare organization registered as an adult care home in Yadkinville, North Carolina and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through October 22, 2026 and lists Jonathan Swain Short, Cio, as its authorized official.

NPPES Registry Identity

NPI1841671245
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameINTEGRITY-PINEBROOK, LLC
Location Address312 HARRISON AVEYadkinville, NC 27055-8247
Mailing Address4900 Koger Blvd Ste 150Greensboro, NC 27407-2738 · (336) 438-1383 · Fax (336) 438-1387
Fax(336) 679-7500
Organization SubpartNo
Authorized OfficialJonathan Swain ShortCio · (336) 438-1383
Enumeration DateJune 11, 2015
Last NPPES UpdateNovember 18, 20212 updates tracked since enumeration
NPPES CertifiedNovember 18, 2021
NPI 1841671245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Also ListedAssisted Living FacilityTaxonomy 310400000X
312 HARRISON AVE, Yadkinville, NC 27055

Other Names 1

Doing Business AsCarolina Pines

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 34D2023621

Integrity Pinebrook · Yadkinville, NC
Active · expires Oct 22, 2026
CLIA Number34D2023621
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 23, 2024
Certificate Expiration DateOctober 22, 2026
Laboratory DirectorJamie Sparks-Shelton
Laboratory Phone(336) 679-8671
Laboratory LocationIntegrity Pinebrook312 Harrison Avenue, Yadkinville, NC 27055
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Custodial Care Facility (Adult Care Home)
312 HARRISON AVE
YADKINVILLE, NC 27055
Custodial Care Facility (Adult Care Home)
312 HARRISON AVE
YADKINVILLE, NC 27055

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 Integrity-Pinebrook, LLC's NPI number?

The NPI number for Integrity-Pinebrook, LLC is 1841671245. It was assigned to this organization in the NPPES registry on June 11, 2015. The provider is doing business as Carolina Pines.

Where is Integrity-Pinebrook, LLC located?

Integrity-Pinebrook, LLC is located at 312 Harrison Ave, Yadkinville, NC 27055. The listed phone number is (336) 679-8671.

What is Integrity-Pinebrook, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Integrity-Pinebrook, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2023621) is associated with this NPI, valid through October 22, 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 Integrity-Pinebrook, LLC was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.