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CARRIAGE HOUSE SENIOR LIVING COMMUNITY
NPI 1992857007
Assisted Living Facility in Greensboro, NC

Active since January 17, 2007CLIA 34D2069523 · Waiver
3896 NORTH ELM STREET, GREENSBORO, NC 27455(336) 286-1235(336) 540-9325 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2020, Jun 27, 2016 (2 updates tracked since 2016).

About Carriage House Senior Living Community NPPES

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

CARRIAGE HOUSE SENIOR LIVING COMMUNITY (NPI 1992857007) is a healthcare organization registered as an assisted living facility in Greensboro, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through January 17, 2028 and lists Katherine E Potter, President & Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1992857007
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFIVE STAR QUALITY CARE - OBX OPERATOR, LLC
Location Address3896 NORTH ELM STREETGreensboro, NC 27455
Mailing Address400 Centre StreetNewton, MA 02458 · (617) 796-8387 · Fax (617) 796-8385
Phone(336) 286-1235
Fax(336) 540-9325
Organization SubpartYes
Authorized OfficialKatherine E PotterPresident & Chief Executive Officer · (617) 796-8387
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJune 23, 20202 updates tracked since enumeration
NPPES CertifiedJune 23, 2020
✔ NPI 1992857007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
3896 NORTH ELM STREET, Greensboro, NC 27455
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Other Names 1

Doing Business AsCarriage House Senior Living Community

Other Identifiers 1

Medicaid7806154NC

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 34D2069523

Carriage House · Greensboro, NC
Active · expires Jan 17, 2028
CLIA Number34D2069523
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 18, 2026
Certificate Expiration DateJanuary 17, 2028
Laboratory DirectorAlma S. Love
Laboratory Phone(336) 286-1235
Laboratory LocationCarriage House3896 N Elm Street, Greensboro, NC 27455
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 Five Star Quality Care - Obx Operator, LLC's NPI number?

The NPI number for Five Star Quality Care - Obx Operator, LLC is 1992857007. It was assigned to this organization in the NPPES registry on January 17, 2007. The provider is doing business as Carriage House Senior Living Community.

Where is Five Star Quality Care - Obx Operator, LLC located?

Five Star Quality Care - Obx Operator, LLC is located at 3896 North Elm Street, Greensboro, NC 27455. The listed phone number is (336) 286-1235.

What is Five Star Quality Care - Obx Operator, LLC's specialty?

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

Does Five Star Quality Care - Obx Operator, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2069523) is associated with this NPI, valid through January 17, 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 Five Star Quality Care - Obx Operator, LLC was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.