HENDERSON CARE CENTER INC - NPI 1912104423 - Assisted Living Facility in Forest City, NC

Q: What is Henderson Care Center Inc's NPI number?

The NPI number for Henderson Care Center Inc is 1912104423. It was assigned to this organization in the NPPES registry on June 28, 2007.

Q: What is Henderson Care Center Inc's specialty?

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

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About Henderson Care Center Inc NPPES

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

HENDERSON CARE CENTER INC (NPI 1912104423) is a healthcare organization registered as an assisted living facility in Forest City, North Carolina and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through February 13, 2027 and lists Jim Henderson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1912104423

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameHENDERSON CARE CENTER INC

Location Address125 HENDERSON CIRForest City, NC 28043-2584

Mailing AddressPo Box 648, 125 Henderson CircleForest City, NC 28043-0648 · (828) 248-3800 · Fax (828) 245-3597

Phone(828) 248-3800

Fax(828) 245-3597

Organization SubpartNo

Authorized OfficialJim HendersonAdministrator · (828) 248-3800

Enumeration DateJune 28, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1912104423 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-081-010

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.

125 HENDERSON CIR, Forest City, NC 28043

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Other Identifiers 1

Medicaid7801774NC

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 34D2020158

Henderson Care Center · Forest City, NC

Active · expires Feb 13, 2027

CLIA Number34D2020158

Laboratory TypeAssisted Living Facility

Certificate Effective DateFebruary 14, 2025

Certificate Expiration DateFebruary 13, 2027

Laboratory DirectorJames E. Henderson

Laboratory Phone(828) 248-3800

Laboratory LocationHenderson Care Center125 Henderson Circle, Forest City, NC 28043

CLIA data matches this NPI record on: Address Name Phone

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 Henderson Care Center Inc's NPI number?

The NPI number for Henderson Care Center Inc is 1912104423. It was assigned to this organization in the NPPES registry on June 28, 2007.

Where is Henderson Care Center Inc located?

Henderson Care Center Inc is located at 125 Henderson Cir, Forest City, NC 28043. The listed phone number is (828) 248-3800.

What is Henderson Care Center Inc's specialty?

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

Does Henderson Care Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2020158) is associated with this NPI, valid through February 13, 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 Henderson Care Center Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.