NEW HANOVER HOUSE, LLC
NPI 1972889715
Custodial Care Facility - Adult Care Home in Wilmington, NC

Q: What is New Hanover House, LLC's NPI number?

The NPI number for New Hanover House, LLC is 1972889715. It was assigned to this organization in the NPPES registry on October 25, 2011.

Q: What is New Hanover House, LLC's specialty?

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

Active since October 25, 2011CLIA 34D2035971 · Waiver

3915 STEDWICK COURT, WILMINGTON, NC 28412(910) 632-2671(910) 632-2676 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About New Hanover House, Llc NPPES

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

NEW HANOVER HOUSE, LLC (NPI 1972889715) is a healthcare organization registered as an adult care home in Wilmington, North Carolina and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through May 30, 2028 and lists Charles E Trefzger, Manager, as its authorized official.

NPPES Registry Identity

NPI1972889715

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameNEW HANOVER HOUSE, LLC

Location Address3915 STEDWICK COURTWilmington, NC 28412

Mailing AddressPo Box 2568Hickory, NC 28603-2568

Phone(910) 632-2671

Fax(910) 632-2676

Organization SubpartNo

Authorized OfficialCharles E TrefzgerManager · (828) 322-5535

Enumeration DateOctober 25, 2011

Last NPPES UpdateOctober 22, 2021

NPPES CertifiedOctober 22, 2021

✔ NPI 1972889715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 · License HAL-065-036 (NC)

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X

3915 STEDWICK COURT, Wilmington, NC 28412

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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 34D2035971

New Hanover House · Wilmington, NC

Active · expires May 30, 2028

CLIA Number34D2035971

Laboratory TypeAssisted Living Facility

Certificate Effective DateMay 31, 2026

Certificate Expiration DateMay 30, 2028

Laboratory DirectorTaylor Ronni

Laboratory Phone(910) 632-2671

Laboratory LocationNew Hanover House3915 Stedwick Court, Wilmington, NC 28412

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 New Hanover House, LLC's NPI number?

The NPI number for New Hanover House, LLC is 1972889715. It was assigned to this organization in the NPPES registry on October 25, 2011.

Where is New Hanover House, LLC located?

New Hanover House, LLC is located at 3915 Stedwick Court, Wilmington, NC 28412. The listed phone number is (910) 632-2671.

What is New Hanover House, LLC's specialty?

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

Does New Hanover House, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2035971) is associated with this NPI, valid through May 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for New Hanover House, LLC was last updated on October 22, 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.